A CLINICAL PROFILE OF PATIENTS WITH TRAUMATIC PERFORATION OF TYMPANIC MEMBRANE IN SOUTH KASHMIR

Dr Irfan Ul Shamas; Dr Waqar Hamid

Volume : VII, Issue : VII, July - 2018

A CLINICAL PROFILE OF PATIENTS WITH TRAUMATIC PERFORATION OF TYMPANIC MEMBRANE IN SOUTH KASHMIR

Dr Irfan Ul Shamas, Dr Waqar Hamid

Abstract :

Objectives : To study various etiologies of tympanic memane perforation,clinical presentations,management and determine the group who are most likely to benefit from conservative management.

Methods :

Design: Prospective observation study in District Hospital Pulwama.

Participants: 227 patients who had otoscopic evidence of tympanic memane perforation from May 2017 to May 2018 participated in the study.

Results:Males (n=187) were found to be five times more likely than females(40) to have a traumatic perforation. It affects all groups with highest incidence in second decade of life. Left ear was involved in 182(80%) patients. The most common cause was assault/slap in 160(70%). Tinnitus was the most common presenting complaint followed by ear block.178(79%)patients had grade 1 perforation with a size of less than 30 percent of the entire TM.143(62%) patients had perforation of posterior quadrant of tympanic memane. Residual perforation after 3 months was noted in 36(16%) patients.29 (80%) patients who had residual perforation had grade 2 or more sized traumatic perforation.

Conclusion: The size of perforation may be a significant risk factor in predicting non healing of traumatic perforation.