An International Journal of Otorhinolaryngology Clinics

Register      Login

VOLUME 7 , ISSUE 3 ( September-December, 2015 ) > List of Articles

RESEARCH ARTICLE

Management of Traumatic Perforations of the Tympanic Membrane: A Clinical Study

S Saimanohar, Raveendra P Gadag, Vijayalakshmi Subramaniam

Keywords : Perforations,Trauma,Tympanic membrane

Citation Information : Saimanohar S, Gadag RP, Subramaniam V. Management of Traumatic Perforations of the Tympanic Membrane: A Clinical Study. Int J Otorhinolaryngol Clin 2015; 7 (3):114-116.

DOI: 10.5005/jp-journals-10003-1205

Published Online: 00-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

To compare the outcome of conservative management vs surgical intervention (realignment of torn edges) in traumatic perforations of the tympanic membrane (TM).

Design

Cohort study, Interventional, Observational, Prospective.

Setting

Karnataka Institute of Medical Sciences, Hubli, Karnataka.

Patients

All patients attending the Department of Otolaryngology with otological injuries.

Interventions

Patients with isolated traumatic tympanic membrane perforations without evidence of temporal bone fractures were managed either conservatively or surgically by realigning the torn edges of perforation under local anesthesia and supporting with gelfoam.

Main outcome measures

Healing of perforation, duration taken for complete healing and hearing outcome by pure tone audiometry.

Results

Perforations in patients taken up for surgical intervention healed faster. Though the difference in outcome, i.e. healed TM perforation between the 2 groups was not statistically significant, the difference in duration taken for healing was observed to be statistically significant (p < 0.05).

Conclusion

Minimal surgical intervention involving realignment of torn edges of perforation and supporting with gelfoam enables faster healing.

How to cite this article

Saimanohar S, Gadag RP, Subramaniam V. Management of Traumatic Perforations of the Tympanic Membrane: A Clinical Study. Int J Otorhinolaryngol Clin 2015;7(3):114-116.


PDF Share
  1. Injuries of the ear and the temporal bone. In Pediatric Otolaryngology, 3rd ed. Edited by Bluestone CD, Stool SE, Kenna MA. WB Saunders, Philadelphia, PA: 1996:687–706.
  2. An observational study of the management of traumatic tympanic membrane perforations. J Laryngol Otol 2002;116(3):181–184.
  3. Acute traumatic tympanic membrane perforations: cover or observe? Arch Otolaryngol Head Neck Surg 1987;113(12):1285–1287.
  4. Spontaneous healing of traumatic tympanic membrane perforations in man: a century of experience. J Laryngol Otol 1992;106(12):1037–1050.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.