EVALUATION OF ETIOLOGICAL FACTORS, CLINICAL COURSE AND OUTCOME OF TRAUMATIC PERFORATION OF TYMPANIC MEMBRANE IN TERTIARY CARE CENTRE

DR OMAR MOHAMMAD SHAFI; DR ABDUL HANAN; DR AEZAZ AHMAD BHAT

Volume : VIII, Issue : II, February - 2018

EVALUATION OF ETIOLOGICAL FACTORS, CLINICAL COURSE AND OUTCOME OF TRAUMATIC PERFORATION OF TYMPANIC MEMBRANE IN TERTIARY CARE CENTRE

Dr Omar Mohammad Shafi, Dr Abdul Hanan, Dr Aezaz Ahmad Bhat

Abstract :

Background: Traumatic perforation of the tympanic memane may be due to direct or indirect trauma. The aim of this study was to determine the various etiological factors of traumatic perforation of tympanic memane and their clinical presentation, observation and the treatment modalities in tertiary care centre. This prospective study was performed on 156 cases of traumatic tympanic memane perforation in the Department of ENT and Head & Neck Surgery, Government medical college Srinagar from JULY 2015 to JULY 2017 from various causes. The data collected include the bio–data, the symptoms, nature of injury, the clinical findings, heå loss and the treatment outcome.

Findings: 156 ears were analyzed, Age ranged from 3 years to 65 yrs. The group consisted of 75 (48%) male and 81(52%) female patients. Slaps (66%) was the most common cause, followed by road traffic accidents and solid object injuries.

Conclusion: In our study majority of the traumatic perforation heal spontaneously without any intervention and only few patients require surgical intervention if the perforation persists even after 3 months. Systemic or topical antibiotics are not indicated unless the ear is secondarily infected.