scholarly journals Otorhinolaryngological Trauma in Some Private Health Facilities in Benin City

2021 ◽  
pp. 20-28
Author(s):  
I. O. Akpalaba ◽  
F. O. Ogisi ◽  
R. O. Momoh
Keyword(s):  
Tympanic Membrane ◽  
Hospital Setting ◽  
Tympanic Membrane Perforation ◽  
Cost Of Care ◽  
Treatment Modalities ◽  
Suppurative Otitis Media ◽  
Early Presentation ◽  
Female Ratio ◽  
Benin City ◽  
Membrane Perforation

Background: Otorhinolaryngological trauma is common in clinical practice. The disaster caused by otorhinolaryngological trauma arises from its morbidity and mortality. This is due to increased cost of care and varying degree of physical, cosmetic and functional disfigurements. Aim: This study was conducted to determine the causes, mechanisms of trauma and outcomes of these injuries in private setting; and to profer possible preventive measures. Methods: This study was a one-year descriptive prospective study on patients with otorhinolaryngological trauma managed at three private health settings in Benin City, Nigeria. All consecutive trauma patients seen from May 2016 to April 2017 constituted the sample size. Total population sampling technique was used. Statistical analysis was performed using SPSS version 20.0. Results: A total of 31 patients were studied. Age ranged from 1 to 80 years. Median age was 35 years. Male to female ratio was 1.1:1. The commonest cause of trauma was use of cotton buds to clean the ears in 48.4% patients.  This was followed by foreign bodies in the ear in 12.9% of the patients. This was not statistically significant as p>0.05. The commonest mechanism of trauma was from Tympanic membrane perforation, canal laceration and ear canal inflammation in 48.4% of patients. The ear was the most affected region in 80.6% of the patients. The greatest complain at presentation was ear discharge in 38.7% of the patients, followed by hearing loss in 35.5% patients. The commonest complication was tympanic membrane perforation noted in 48.4% of the study population followed by chronic suppurative otitis media in 35.5% of them. Majority of the subjects (87.1%) were treated as outpatients. Only 12.9% of the subjects required admission to the ward. The most common treatment modalities used were ‘keeping the ear dry’ protocol, ear toileting and daily ear dressing in 80.6%, 41.9% and 38.7% of the patients respectively. The median length of hospital stay for in-patients was 7 days (range 3 to 11 days). There was no mortality. Majority of the patients (77.4%) had full recovery. Tympanic membrane perforation was persistent in 22.6% of the patients. Conclusion: Otorhinolaryngological trauma constitutes a significant cause of morbidity in private hospital setting. Majority of these trauma are both preventable and treatable through public enlightenment programmes and early presentation to Otorhinolaryngologists respectively.

scholarly journals Closure of small perforation in tympanic membrane by use of fat plug

2020 ◽  
Vol 6 (9) ◽  
pp. 1647
Author(s):  
Nehal R. Patel ◽  
Vaibhav V. Patel ◽  
Dimpal Padavi ◽  
Mayur Prajapati ◽  
Rachana M. Khokhani ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Ossicular Chain ◽  
Tympanic Membrane Perforation ◽  
Major Surgery ◽  
Graft Material ◽  
Middle Ear Mucosa ◽  
Suppurative Otitis Media ◽  
Membrane Perforation ◽  
Conventional Myringoplasty ◽  
Small Perforation

<p class="abstract"><strong>Background: </strong>Chronic suppurative otitis media presents mostly with ear discharge and associated decreased hearing. Tympanoplasty is the established surgery for tympanic membrane perforation. Most commonly used graft material for tympanoplasty is temporalis fascia. Others are fascia lata, tragal perichondrium, tragal cartilage, fat. The objective of the study was to compare the graft taken up and hearing improvement following myringoplasty with use of fat.</p><p class="abstract"><strong>Methods:</strong> Patients of CSOM aged 10 to 65 years old with small central perforation which is dry for at least 3 weeks with normal middle ear mucosa and intact ossicular chain with mild conductive hearing loss. The present study was carried out in Ear, neck and throat (ENT) Department of SCL hospital, Ahmedabad from July 2016 till September 2018 and 25 patients were randomly selected fulfilling the above criteria.</p><p class="abstract"><strong>Result: </strong>The choice of graft affects not only the outcome of surgery, but also determines the complexity of the procedure and the time taken for the same. Study proves that fat is also a one of the good grafting material which is easily available and keep to prevent from major surgery. The results have been quite encouraging.</p><p class="abstract"><strong>Conclusion: </strong>Study proves that fat is also a one of the good grafting material which is easily available and keep to prevent from major surgery. An added advantage of this technique was the excellent post-operative quality of life of the operated patients, assessed in terms of the chronic ear survey and evident by the absence of the usual post-operative complaints following a conventional myringoplasty.</p>

scholarly journals Traumatic tympanic membrane perforation: an overview in a tertiary care centre-Khammam

2021 ◽  
Author(s):  
Agni Vishnu Sailesh ◽  
Vivek Arumugham ◽  
Siva Subba Rao Pakanati ◽  
Shilpa Potnuru
Keyword(s):  
Tympanic Membrane ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Good Prognosis ◽  
Endoscopic Examination ◽  
Tympanic Membrane Perforation ◽  
Physical Assault ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
Membrane Perforation

<p><strong>Background</strong>: Aim of the study was to distinguish traumatic tympanic membrane perforation (TTMP) by distribution, etiology and clinical presentation and to assess the prognosis and outcome of treatment and establish masterly inactivity as main treatment modality.</p><p><strong>Methods</strong>: A prospective observational study was performed on 60 cases of traumatic tympanic membrane perforation in the outpatient department of otorhinolaryngology, Mamatha medical college and general hospital, Khammam from October 2019 to March 2021. All the patients came to ENT OPD with the history of trauma to the ear and hearing loss were examined and after obtaining proper history, all the patients underwent ENT clinical examination, oto-endoscopic and audiological evaluation by pure tone audiometry. All the patients diagnosed with traumatic tympanic membrane perforation after obtaining informed written consent were included in the study. All the patients were followed at regular intervals and observations were recorded.</p><p><strong>Results</strong>: All patients were evaluated based on oto-endoscopic examination. Age ranges from 20-50 years, mean age of 33.6 years and with a male to female ratio of 1:1.4. Commonest etiology was physical assault (61.66%) followed by self-inflicted injury accounting 20%. Tinnitus (90%) was the common presenting complaint and the perforation spontaneously healing is about 90% patients.</p><p><strong>Conclusions</strong>: Traumatic perforation of tympanic membrane is under-reported otologic defect which has a good prognosis if treated at right time with a need to educate people on the consequences and about unskilled removal of wax/foreign body, early identification and apt diagnosis and management.</p>

Otologic Manifestations of Wegener's Granulomatosis

1980 ◽  
Vol 88 (5) ◽  
pp. 586-593 ◽  
Author(s):  
Thomas V. McCaffrey ◽  
Thomas J. McDonald ◽  
George W. Facer ◽  
Richard A. DeRemee
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Tympanic Membrane ◽  
Middle Ear ◽  
Wegener’S Granulomatosis ◽  
Wegener's Granulomatosis ◽  
Tympanic Membrane Perforation ◽  
Sensorineural Hearing ◽  
Suppurative Otitis Media ◽  
Membrane Perforation

Review of 112 patients with Wegener's granulomatosis showed that 21 (19%) had ear involvement. Conductive deafness, which was present in all 21 patients, was due to serous middle ear fluid, suppurative otitis media with thickening of the tympanic membrane, perforation of the tympanic membrane, or granulation tissue in the middle ear space. Nine patients also had sensorineural hearing loss. Sensorineural hearing loss was improved in five of the nine patients after control of the disease with prednisone and cyclophosphamide.

scholarly journals Audiometric assessment of adolescents and adults with tympanic membrane perforation in Benin City

2018 ◽  
Vol 4 (4) ◽  
pp. 901 ◽  
Author(s):  
Johnson Ediale ◽  
Paul R. O. C. Adobamen ◽  
Titus S. Ibekwe
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Pure Tone Audiometry ◽  
Cross Sectional Study ◽  
Tympanic Membrane Perforation ◽  
Adult Patients ◽  
Hearing Level ◽  
Cross Sectional ◽  
Benin City ◽  
Membrane Perforation

<p class="abstract"><strong>Background:</strong> The degree of hearing loss is directly proportional to the size of tympanic membrane (TM) perforation. However, there is dearth of information on correlation between severity of hearing loss and location of perforation on the tympanic membrane. The objective of the study was to determine the hearing level of adolescent and adult patients with tympanic membrane perforation.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study at the ENT Clinic, University of Benin Teaching Hospital (U.B.T.H), Benin City. Consecutive patients with TM perforations were examined with ‘‘Firefly video-otoscope’’, and subsequently had pure tone audiometry. The contralateral intact TMs in individuals with unilateral TM perforation and the ears of students and staff of Institute of Health Technology UBTH were used as control. Data was analyzed using statistical package for social sciences (SPSS) version 20 and Image J software. P≤0.05 was considered statistically significant.  </p><p class="abstract"><strong>Results:</strong> Two hundred ears from 148 patients with TM perforation in either or both ears were studied. Conductive hearing loss (CHL) had the highest prevalence; 64.3% and 55.9% in the right and left ears respectively. Slight CHL; 67.5% was more common. However, the severity of hearing loss increased with the size and also varied with the location of TM perforation.</p><p><strong>Conclusions:</strong> The hearing level among adolescent and adult patients with TM perforation showed a significant association with the size and the location of the perforation on the TM.</p>

scholarly journals Observation of hearing loss in patients with chronic suppurative otitis media tubotympanic type

1970 ◽  
Vol 7 (4) ◽  
pp. 397-401 ◽  
Author(s):  
M Maharjan ◽  
P Kafle ◽  
M Bista ◽  
S Shrestha ◽  
KC Toran
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Common Finding ◽  
Hearing Level ◽  
Suppurative Otitis Media ◽  
Low Frequencies ◽  
Membrane Perforation

Background: It is acknowledged that size and site of tympanic membrane perforation is proportional to degree of hearing loss but there are many studies which suggests otherwise. Persistent ear discharge is also supposed to deteriorate hearing level with passage of time. This study is carried out to find out the relation between size and site of tympanic membrane perforation and duration of ear discharge on hearing loss. Objectives: The objective of this study is to study the effect of size and site of tympanic membrane perforation and duration of ear discharge on hearing loss. Materials and methods: This is a cross-sectional prospective study conducted at Kathmandu Medical College, department of ear nose and throat from January till July 2009. One hundred patients aged between 8 to 60 years with pars-tensa perforations were included in the study. Detail clinical examination and history was carried out followed by hearing evaluation by audiometry was done in all cases. All the data is collected, statistical analysis is done using SPSS program and documented for study. Results: One hundred patients with 119 perforated tympanic membrane, age ranged between 8 to 60 years, 44 males and 56 females were studied. Bilateral tympanic membrane perforation were seen in 19 patients, right sided perforation in 39 and left sided in 42 patients respectively. Large central perforation involving all four quadrants was the most common otologic findings seen in 72 ears (60.50%) whereas perforation in posterosuperior quadrant was the least common finding seen in 3 patients (2.52%). Significant relation is observed between site of perforation and degree of hearing loss; posterior placed perforations seem to have larger hearing loss. Ninety-five perforations (79.83%) showed more loss in low frequencies with larger air bone gap at low frequencies. The longer the duration of ear discharge, the more the hearing loss. Conclusion: The larger the perforation, the greater the decibel loss in sound perception. The location of perforation on the tympanic membrane and the duration of ear discharge have significant effect on the magnitude of hearing loss. Key words: chronic suppurative otitis media; tympanic membrane perforation; hearing loss DOI: 10.3126/kumj.v7i4.2761 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 397-401

scholarly journals Comparison of Tympanic Membrane Perforation With and Without Calcification of Anterior Mallear Ligament Under Transcanal Endoscopic Type I Tympanoplasty

2021 ◽  
pp. 014556132110100
Author(s):  
Cong Wu ◽  
Xiaoyun Chen ◽  
Yideng Huang ◽  
Min Zhang ◽  
Fan Ye ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Operation Time ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Closure Rate ◽  
Suppurative Otitis Media ◽  
Low Frequencies ◽  
Membrane Perforation ◽  
Type I Tympanoplasty ◽  
Hearing Outcomes

Objectives: Chronic suppurative otitis media (CSOM) induced tympanic membrane perforation (TMP) can be accompanied by anterior mallear ligament (AML) calcification. So far, comparative evaluations of TMP with and without AML calcification have rarely been reported. The aim of the current study is to compare the hearing outcomes of TMP with and without calcification of AML under transcanal endoscopic type I tympanoplasty. Methods: Records of 67 patients diagnosed with CSOM and receiving transcanal endoscopic type I tympanoplasty were divided into the AML calcification group (Cal group, n = 31) and the non-AML calcification group (non-Cal group, n = 36). The 31 patients in the Cal group were divided into subgroup A and B according to the severity of calcification. The operation time, closure rate, and pre- and postoperative audiometric results were retrospectively collected and analyzed. Results: Preoperatively, the Cal group had higher mean air–bone gap (ABG; P = .022), and ABGs at 250 Hz ( P = .017) and 500 Hz ( P = .008) compared with the non-Cal groups. The Cal group showed higher improvements of ABGs at 250 Hz ( P = .039) and 500 Hz ( P = .021) compared with the non-Cal groups postoperatively. Conclusions: The TMP with AML calcification leads to higher ABGs at low frequencies. The hearing outcomes are similar for TMP both with and without AML calcification after surgery. Our results suggest that transcanal endoscopic type I tympanoplasty is an appropriate surgical method for TMP with AML calcification, if the lesion can be detected and completely eliminated.

scholarly journals Traumatic Tympanic Membrane Perforation in Lokoja, Nigeria: A Review of 43 Cases

2016 ◽  
Vol 06 (04) ◽  
pp. 68-70
Author(s):  
Stephen Agbomhekhe Ogah
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Common Symptom ◽  
Main Function ◽  
Sound Waves ◽  
Female Ratio ◽  
Complete Restoration ◽  
Membrane Perforation ◽  
Lost To Follow Up ◽  
Age Range

Abstract Background: The tympanic membrane main function is the conduction of sound waves for effective hearing hence its perforation almost always results in initial hearing impairment of a reasonable degree. Objectives: To identify common causes, clinical presentation and management outcome of a perforated tympanic membrane. Methods: This is a three year (January 2013-December 2015) prospective hospital base study carried out in the ENT Outpatient clinic of the Federal Medical Centre, Lokoja, Nigeria. Patients were recruited by convenience sampling method after a clinical diagnosis of traumatic tympanic membrane perforation. All patients were made to have PTA for their hearing assessment during and after treatment. Results: A total of 49 patients were recruited but 6 were lost to follow up, the remaining 43 were 24 males and 19 females with a male to female ratio of 1.26:1. Age range was from 2-80years and the modal age group was 11-20years. Ear cleaning and scratching with pointed objects was the commonest cause of traumatic tympanic membrane perforation followed by slapping from assault. Pain was the most common symptom at presentation followed by hearing loss. Spontaneous healing of the membrane occurred in 6 weeks in 34.9% of the patients and with complete restoration of hearing in 96%.

scholarly journals A study of graft uptake rate of myringoplasties in Bir Hospital

2012 ◽  
Vol 7 (1) ◽  
pp. 24-27
Author(s):  
LK Yadav ◽  
J Pradhananga
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Uptake Rate ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
The People ◽  
Access To Health ◽  
Number Of Patients ◽  
Membrane Perforation

Chronic suppurative otitis media-tubotympanic type is one of the commonest ear diseases in the practice of otolaryngology. It mainly occurs in the people with poor socio-economic conditions hence, its magnitude is immense in remote areas of Nepal where poverty prevails the most and in people who do not have access to health facilities. The main features of this disease are ear discharge lasting more than three months, hearing loss, and perforation of the tympanic membrane. The aim of this study is to evaluate the graft uptake rate of patients who underwent Myringoplasties for Chronic Suppurative otitis media tubotympanic type. The total number of patients in the study was 129. Age of the patients varied from 13 to 45 years. Myringoplasties were performed on these patients. They were followed up at one week for stitch and ear pack removal, and then at four weeks to see for graft uptake. The graft uptake rate was found to be 81.4 %. There were no significant complications, except that few patients complained of pain at the site of incision for harvesting the graft. This study showed that myringoplasty has good success rate./7 and can be carried out safely for closure of tympanic membrane perforation in cases of chronic suppurative otitis media tubo-tympanic type. DOI: http://dx.doi.org/10.3126/jcmsn.v7i1.5969 JCMSN 2011; 7(1): 24-27

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