Evaluation of Spontaneous Healing of Traumatic Tympanic Membrane Perforation

2014 ◽  
Vol 02 (01) ◽  
Author(s):  
Vinod Shinde ◽  
Sudeep Choudhary ◽  
Mayur Ingale ◽  
Paresh Chavan

<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>


2017 ◽  
Vol 5 (1) ◽  
pp. 14-16
Author(s):  
Shiwani Rai ◽  
K. Koirala ◽  
V. Sharma

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.  


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