A prospective study evaluating spontaneous healing of aetiology, size and type-different groups of traumatic tympanic membrane perforation

2011 ◽  
Vol 36 (5) ◽  
pp. 450-460 ◽  
Author(s):  
Z.-C. Lou ◽  
Y.-M. Tang ◽  
J. Yang
Keyword(s):  
Prospective Study ◽  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Spontaneous Healing ◽  
Membrane Perforation ◽  
A Prospective Study

An observational study of the management of traumatic tympanic membrane perforations

2002 ◽  
Vol 116 (3) ◽  
pp. 181-184 ◽  
Author(s):  
J. E. O. Amadasun
Keyword(s):  
Observational Study ◽  
Prospective Study ◽  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Control Group ◽  
Tympanic Membrane Perforations ◽  
Membrane Perforation ◽  
A Prospective Study

Controversies of how best to treat fresh tympanic membrane perforations have always existed. While some otolaryngologists prefer the paper patch method, others prefer modified myringoplasty. A prospective study is needed to investigate the most effective and least expensive management of this common ear trauma.This study examined prospectively, in three sections, a group of patients with a cellophane patch (n = 6), another group with a gentamicin ointment seal (n = 15) and a control group (n = 9) with a gentamicin plug placed at the distal end of the external auditory cavity. Successful healing of the traumatic tympanic membrane perforations was achieved in 50 per cent of the cellophane seal group, 86.7 per cent of the gentamicin ointment seal group and 77.8 per cent of the control group. This study shows that the management of a fresh tympanic membrane perforation should be limited to cleaning the traumatized ear and preventing infection.

scholarly journals Paper patching in traumatic perforation of tympanic membrane

2018 ◽  
Vol 5 (1) ◽  
pp. 10
Author(s):  
Vinod Shinde ◽  
Sudeep Choudhary ◽  
Mayur Ingale ◽  
Paresh Chavan
Keyword(s):  
Tympanic Membrane ◽  
Standard Treatment ◽  
Tympanic Membrane Perforation ◽  
Spontaneous Healing ◽  
Medical College ◽  
Membrane Perforation ◽  
Group A ◽  
Inflammatory Drugs ◽  
Group B ◽  
Random Groups

<p class="abstract"><strong>Background:</strong> Traumatic perforations are not new for ENT surgeons. The dictum for treatment is to keep the ear dry and leave the tympanic membrane to heal by itself. Most of the time it heals completely, but if it does not, a tympanoplasty is required.</p><p class="abstract"><strong>Methods:</strong> 144 patients of traumatic tympanic membrane perforation, who reported in the outdoor patient department of Otorhinolaryngology, at Dr. D. Y. Patil Medical college, DPU, Pune, were divided in two random groups; Group A was treated with standard treatment while Group B was treated with patching of perforation as an adjuvant to standard treatment. A simple paper, (from the envelop of gel foam) was used for this procedure. The standard taught and performed treatment for a tympanic membrane perforation is administering antibiotics, antihistaminic and anti-inflammatory drugs and keeping the ear dry; leaving the perforation for spontaneous healing.  </p><p class="abstract"><strong>Results:</strong> Group A 75% perforations had healed while in Group B 97.22% perforations healed completely.</p><p class="abstract"><strong>Conclusions:</strong> Paper patching supports the healing tympanic membrane and significantly improves the chances of spontaneous healing thus reducing the requirement of surgical intervention.</p>

scholarly journals Tympanoplasty for Wet and Dry Perforation: A Prospective Comparative Study

2021 ◽  
Vol 28 (3) ◽  
pp. 260-265
Author(s):  
Amit Bikram Maiti ◽  
Rupam Sinha
Keyword(s):  
Prospective Study ◽  
Comparative Evaluation ◽  
Statistical Significance ◽  
Chronic Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Hearing Improvement ◽  
Mucosal Disease ◽  
Membrane Perforation ◽  
Prospective Comparative Study ◽  
A Prospective Study

Introduction Two types of surgical procedures are performed for the treatment of Chronic otitis media (COM) mucosal disease, namely myringoplasty and tympanoplasty. In the present study, an objective, comparative evaluation between the outcomes of tympanoplasty, performed in the ‘wet ear’ and the ‘dry (non- discharging) ear’ has been undertaken. Materials and Methods A prospective study was conducted in a peripheral referral institute over a period of 37 months    wherein a total of 105 patients with tympanic membrane perforation were selected, amongst which 56 patients had moist ear and 49 patients had dry ear. All of the patients underwent tympanoplasty by underlay technique. Final results were analyzed 12 months post operatively. Results In the wet ear group amongst 56 patients, 51 patients had successful graft uptake (91.07%). In dry          ear group, among 49 patients, successful graft uptake was seen in 44 cases (89.79%). In the wet ear group 50 out of 56 patients had hearing improvement (89.28%). In dry ear group 44 out of 49 patients had hearing improvement (89.79%). Statistically significant results were obtained postoperatively in each group; however, inter group analyses showed no statistical significance. Conclusion Success rate of tympanoplasty does not depend upon the wet or dry state of middle ear at the time of surgery.

scholarly journals Inferior Flap Tympanoplasty: A Novel Technique for Anterior Perforation Closure

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Haim Gavriel ◽  
Ephraim Eviatar
Keyword(s):  
Tympanic Membrane ◽  
Anterior Part ◽  
Tympanic Membrane Perforation ◽  
The Novel ◽  
Posterior Flap ◽  
Membrane Perforation ◽  
The Mean ◽  
Contralateral Ear ◽  
A Prospective Study ◽  
Anterior Perforation

Objective. To report a novel tympanoplasty modification for anterior tympanic membrane perforation closure.Materials and Methods. A prospective study on 13 patients who underwent inferior tympanoplasty between December 2008 and May 2011 was carried out. In our technique, an inferior rather than a posterior flap is raised and the graft is laid from the inferior direction to obtain better access to the anterior part of the tympanic membrane perforation and provide better support.Results. A total of 13 patients underwent the novel inferior tympanoplasty technique with a mean age of 33 years. Six patients had undergone tympanoplasties and/or mastoidectomies in the past, 3 in the contralateral ear. A marginal perforation was observed in 3 cases, total perforation in 2 and subtotal in 1 case. The mean preoperative pure-tone average was 40.4 dB (10 to 90 dB), compared to 26.5 dB (10 to 55 dB) postoperatively. All perforations were found to be closed but one (92.3% success rate).Conclusions. The inferior tympanoplasty technique provides a favorable outcome in terms of tympanic membrane closure and hearing improvement for anterior perforations, even in difficult and complex cases. It is based on a well-known technique and is easy to implement.

scholarly journals Role of nasal decongestants in spontaneous healing of traumatic tympanic membrane perforation

2017 ◽  
Vol 5 (1) ◽  
pp. 14-16
Author(s):  
Shiwani Rai ◽  
K. Koirala ◽  
V. Sharma
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Complete Healing ◽  
Controlled Study ◽  
Spontaneous Healing ◽  
Nasal Decongestants ◽  
Membrane Perforation ◽  
Group 2 ◽  
Group 1

Objective: To study the role of nasal decongestants in spontaneous healing of traumatic tympanic membrane perforation.Material and Methods: A prospective single blinded, randomized controlled study was carried out in the department of ENT, Manipal College of Medical Sciences, Pokhara, Nepal. Patients with traumatic tympanic membrane perforation were divided into two groups; those receiving nasal decongestants along with conservative measures (Group1) and those receiving conservative measures only (Group2). Healing of tympanic membrane was compared in between these groups at 1 and 3 months. Statistical analysis was done using SPSS 20.Results: There were 30 patients in group 1 and 28 patients in group 2. The mean age of the study population was 26.98 (SD= 7.53). The M: F ratio in group 1 was 0.58:1 and that in group 2 was 0.56:1. Complete healing was seen in 25 (83%) patients in group 1 and 16 (57.1%) patients in group 2 at the end of 1 month (P=0.029). Similarly, healing was seen in in 29 (96.7%) patients in group 1 and 21 (75%) patients in group 2 at the end of 3 months (P=0.023).Conclusion: Routine use of nasal decongestants increases the chances of spontaneous healing of traumatic tympanic membrane perforations.  

scholarly journals Does Anterior Tunnelling Really Help in Underlay Type I Tympanoplasty?

2017 ◽  
Vol 25 (3) ◽  
pp. 142-147
Author(s):  
Sohag Kundu ◽  
Bhaskar Ghosh ◽  
Bijan Kumar Adhikary ◽  
Mainak Dutta
Keyword(s):  
Prospective Study ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Hearing Result ◽  
Membrane Perforation ◽  
Type I Tympanoplasty ◽  
A Prospective Study ◽  
Hearing Outcomes ◽  
Statistical Comparability

Introduction Stabilizing the graft can be difficult with the conventional method of underlay tympanoplasty when the tympanic membrane perforation is subtotal, large or anteriorly placed with thin anterior rim. Tympanoplasty with anterior tunnelling has been tried to overcome this problem. Materials and Methods A prospective study over two-year period was carried out with follow up for three months on 59 patients under two groups- the underlay tympanoplasty with anterior tunnelling and the conventional tympanoplasty with anterior tucking for comparison in terms of pre-and post-operative anatomical correction and physiological improvements Results Follow up at 6 weeks and 12 weeks post operatively gives statistically comparable graft take up, hearing result and residual perforations. Discussion Among various techniques of dealing with these types of perforations, statistical comparability of the two groups brings in an acceptability to this simple but satisfying procedure of the underlay tympanoplasty with anterior tunnelling. Conclusion Underlay tympanoplasty technique (type-I) for subtotal, large or anteriorly placed perforations with thin anterior rim, can be managed by combining with anterior tunnelling which provides at least comparable results (if not more security against graft medialization) in respect of anatomical closure of perforations and hearing outcomes.

scholarly journals Outcome of conchal cartilage shield type I tympanoplasty: a prospective study of 70 patients

2019 ◽  
Vol 5 (2) ◽  
pp. 408
Author(s):  
Ayisha Kunnumal ◽  
G. Priyadarshini
Keyword(s):  
Tympanic Membrane ◽  
Chronic Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Female Ratio ◽  
Conchal Cartilage ◽  
Medical College ◽  
Uptake Rates ◽  
Membrane Perforation ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Tympanoplasty is a surgical procedure performed to reconstruct hearing mechanism with or without reconstruction of tympanic membrane perforation. Cartilage shield tympanoplasty was first reported in literature by Duckert et al in 1995.The purpose of the present study was to prepare the cartilage shield graft and to evaluate its effect on the success rate of tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> In this study 70 patients who presented to ENT OPD of Aarupadai Veedu medical college, Puducherry, with chronic otitis media (COM) mucosal type, who were treated during the period between December 2016 to April 2018 were enrolled. Patients with COM mucosal type, with mild to moderate conductive hearing loss, dry or moist ear were included in the study. Detailed history was taken in the selected patients including a thorough otological examination and blood investigations required for surgery.  </p><p class="abstract"><strong>Results:</strong> In the present study male to female ratio was 1.6:1. 30% patients were in the age group between 20-24years. In our study 33% patients had pre-operative airbone gap in the range of 31-40 dB and post-operative improvement in airbone gap was in the range of 0-10 dB in 49% patients.</p><p class="abstract"><strong>Conclusions:</strong> Conchal cartilage shield tympanoplasty is an effective technique in tympanic membrane reconstruction and shows no detrimental effect to the hearing outcome. Conchal cartilage is preferred graft as it can be harvested from same incision. The graft uptake rates are excellent with this technique.</p>

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