International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064




Downloads: 182

Research Paper | Medical Surgical | India | Volume 9 Issue 3, March 2020


Evolving Options and Challenges in the Management of Traumatic Perforation of Tympanic Membrane, Pondicherry India, 2016

Dr Shyamala D, Dr Jagadeeswaran VU, Dr Shanmuganathan R, Tony Fredrick, Yuvaraj Jayaraman, Joseph k David


Abstract: Background Damage to the tympanic membrane remains a substantial burden to patients presenting the emergency department. Traumatic perforation of the tympanic membrane though a common injury are mostly under reported. Many perforations are small and heal spontaneously. This study was conducted to analyze the mechanism of injury, treatment outcome of conservative management and when to do surgical management. Methods We conducted cross sectional study among patients presenting with tympanic membrane perforation. Diagnosis was done using otoscopic and otoendoscopic examination. Patients were screened for hearing loss by Pure Tone Audiometry at the time of presentation. All patients were advised follow up every week for a period of 6 weeks. Systemic and local risk factor estimation was done in a comprehensive examination. Univariate and stepwise regression analyses were done to identify the independent risk factors associated with the presence and severity of trauma. We calculated adjusted odds ratio with 95 % CI to identify the factors associated with traumatic perforation. Results About 121 cases were recruited for the study The mean age group is 31.5±10 years. . Nearly 65.29 %. of traumatic perforation of tympanic membrane were among females There were 15 cases who presented bilaterally, thus making it 136 affected ears. The predominant symptomatology were impaired hearing 47.93 %, earache19.01 % and bleeding from ear 6.61 %. In context of conductive hearing loss 60.3 % had a range of 26-35dB, The common aetiology for traumatic perforation of tympanic membra Conclusion Ear trauma is common phenomena which mostly commonly affects the tympanic membrane. Sudden increase in canal pressure from blows and slaps were the major mechanism of injury. Management outcome was good except for few late presenters with complications. Persistent conductive hearing loss suggests disruption of the ossicular chain, necessitating surgical exploration and re


Keywords: Tympanic Membrane, Trauma, Rupture, Hearing loss, Surgical Exploration


Edition: Volume 9 Issue 3, March 2020,


Pages: 444 - 449


How to Cite this Article?

Dr Shyamala D, Dr Jagadeeswaran VU, Dr Shanmuganathan R, Tony Fredrick, Yuvaraj Jayaraman, Joseph k David, "Evolving Options and Challenges in the Management of Traumatic Perforation of Tympanic Membrane, Pondicherry India, 2016", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=SR20307044413, Volume 9 Issue 3, March 2020, 444 - 449

How to Share this Article?

Enter Your Email Address


Similar Articles with Keyword 'Tympanic Membrane'

Downloads: 124 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Research Paper, Medical Surgical, India, Volume 4 Issue 10, October 2015

Pages: 811 - 812

Hearing Loss in Tympanosclerosis

K S Munish, B S Mamatha, A M Shivakumar

Share this Article

Downloads: 125

Research Paper, Medical Surgical, India, Volume 4 Issue 10, October 2015

Pages: 496 - 499

Middle Ear Findings at Exploratory Tympanotomy for Conductive Hearing Loss

Ajith K M, Ceethu B Raj, Shivakumar A M

Share this Article

Similar Articles with Keyword 'Trauma'

Downloads: 135

Research Paper, Medical Surgical, Iraq, Volume 5 Issue 7, July 2016

Pages: 774 - 777

Epidemiological Analysis of the Nasal Trauma

Mohammed Radef Dawood

Share this Article

Downloads: 2

Research Paper, Medical Surgical, India, Volume 10 Issue 6, June 2021

Pages: 88 - 90

Case Report: Late Presentation of a Case of Traumatic Left Sided Diaphragmatic Hernia

Rajendra Shinde, Sanjeev Kumar

Share this Article

Similar Articles with Keyword 'Rupture'

Downloads: 67

Research Paper, Medical Surgical, India, Volume 9 Issue 12, December 2020

Pages: 1545 - 1547

Comparative Study of Mesh Fixation versus Non Fixation in Laparoscopic Inguinal Hernia Repair (TEP/TAPP)

Dr. Surendra Pathak, Dr. SP Hariram Krishna

Share this Article

Downloads: 109

Dissertation Chapters, Medical Surgical, India, Volume 4 Issue 7, July 2015

Pages: 1444 - 1448

Arthroscopic Evaluation of Elbow, Hip and Stifle Joint Disorders in Dogs

Anirudh. A, L. Ranganath

Share this Article

Similar Articles with Keyword 'Hearing loss'

Downloads: 101

Research Paper, Medical Surgical, India, Volume 5 Issue 8, August 2016

Pages: 1732 - 1734

Hearing Aid use before Cochlear Implantation-Is it Mandatory?

Dr. Rohan Patel, Dr. Ankur Barot, Dr. Nisarg Mehta, Dr. Rajesh Vishwakarma

Share this Article

Downloads: 110

Research Paper, Medical Surgical, India, Volume 9 Issue 6, June 2020

Pages: 1333 - 1336

A Study of Sudden Sensorineural Hearing Loss in Pregnancy

Vasim Ismail Patel, Bibi Zainab, Aparna Sethuraman

Share this Article

Similar Articles with Keyword 'Tympanic'

Downloads: 103

Research Paper, Medical Surgical, India, Volume 5 Issue 5, May 2016

Pages: 1829 - 1831

Clinical Study of Results of Myringoplasty with Tragal Perichondrium

Srikanth Myla, Ramesh Elma

Share this Article

Downloads: 110

Research Paper, Medical Surgical, India, Volume 9 Issue 6, June 2020

Pages: 1333 - 1336

A Study of Sudden Sensorineural Hearing Loss in Pregnancy

Vasim Ismail Patel, Bibi Zainab, Aparna Sethuraman

Share this Article

Similar Articles with Keyword 'Membrane'

Downloads: 100

Research Paper, Medical Surgical, India, Volume 9 Issue 3, March 2020

Pages: 1450 - 1453

Efficacy of a Timely Amniotic Membrane Grafting in a Case of Steven Johnson Syndrome

Gayatri Bhonsale, Ishita Mehta, Mamta Agrawal, Suvarna Kalapad

Share this Article

Downloads: 105

Case Studies, Medical Surgical, India, Volume 4 Issue 11, November 2015

Pages: 2205 - 2207

Unilateral Choanal Atresia in Adult: Case Report

Dr. Vishwambhar Singh

Share this Article
Top