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Traumatic Tympanic Membrane Perforation in Children: A Descriptive Cross-sectional Study
Apar Pokharel1, Chhanya Bhandari1, Bibek Sharma1
1Department of ENT and Head and Neck Surgery, College of Medical Sciences, Chitwan, Nepal.
Insights
Traumatic tympanic membrane perforation in children is often caused by physical assault, particularly in males. The most common symptom reported was hearing loss, indicating a need for prompt otolaryngologic evaluation.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Trauma Surgery
Background:
- Traumatic tympanic membrane perforation is a common pediatric condition presenting in otolaryngology clinics and emergency departments.
- Understanding the clinical presentation is crucial for effective management in children.
Purpose of the Study:
- To investigate the clinical characteristics of traumatic tympanic membrane perforation in pediatric patients.
- To identify common causes and symptoms associated with pediatric tympanic membrane perforations.
Main Methods:
- A cross-sectional study was conducted involving 384 children under 18 years old.
- Data collected included demographics, trauma mechanisms, and clinical findings of tympanic membrane perforation.
- Ethical approval was obtained, and data analysis was performed using Microsoft Excel.
Main Results:
- The study included 384 children, with males comprising 69.53%.
- Physical assault was the leading cause (28.39%), followed by blunt force trauma.
- The most frequent symptom was ear blockage or hearing loss (54.16%), with conductive hearing loss noted in 55.73% of cases.
Conclusions:
- Traumatic tympanic membrane perforation in children predominantly results from blunt force trauma.
- Male children are more frequently affected, highlighting the importance of targeted prevention strategies.
Introduction:
TTraumatic perforation of the tympanic membrane in pediatric population is often encountered in primary otolaryngologic clinics or in the emergency department. The objective of the study was to find out the clinical presentation of traumatic tympanic membrane perforation in the pediatric population.
Methods:
A cross-sectional study was done from February, 2023 to February, 2024 after obtaining the ethical approval from the Institutional Review Board (2023/114). All the patients aged less than 18 years and presenting with traumatic tympanic membrane perforation were included in the study. Collected data was entered and analysed using Microsoft Excel. Patients were evaluated for demographics, mechanism of trauma and clinical characteristics of ear drum perforation in children.
Results:
A total of 384 children aged less than 18 years were included in the study among which 267 (69.53%) were males. Physical assault 109 (28.39%) was the most common cause of tympanic membrane perforation. The most common symptom at the time of presentation was ear block/hearing loss 208 (54.16%). Conductive hearing loss was present in 214 (55.73%) children.
Conclusion:
Traumatic perforation of the tympanic membrane resulted mostly from the blunt force trauma especially in male children.
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