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67797

Comparative study between patching and conservative treatment of traumatic tympanic membrane perforation

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Last updated: 22 Jan 2023

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Abstract

Background: Trauma remains a regular occurrence relating to activities and lifestyle of humans and it can affect any part of the body. The ear is located within the cranio-facial skeleton which is exposed to environmental trauma that can occur as blunt injuries like contusion, concussion, decompression, and penetrating injuries as fractures. Objective: The aim of the present work was to investigate the effect of patching of  traumatic TMP either with gel foam or steri-strips, and to compare it with conservative treatment depending on closure rate, closure time, hearing gain, and rate of otorrhoea. Patients and Methods: This prospective study was carried out on sixty patients who attended to outpatient clinic of Al-Hussien and SayedGalalHospitals, Al-AzharUniversity from February 2019 to December 2019. All patients who came with traumatic tympanic membrane perforation were screened. They were divided randomly into three equal groups; group A was treated conservatively, group B was treated by steri-strip patch, and group C was treated by gel foam patch. Results: The closure rates of the perforations in conservative group, Steri-Strips patching and gel foam patching groups  were 80%, 95%, and 100%, respectively. There was no statistically significant difference in tympanic membrane closure rate between the 3 groups. Steri-Strip and gel foam patching groups showed shorter healing times compared with the conservative group. However, there was an increased rate of otorrhea in the Steri-Strip group and conservative group compared with gel foam patching group. Conclusion: Steri-strip and gel foam patching accelerated the closure of small, moderate and large traumatic tympanic membrane perforations, closure rates and closure times did not differ significantly among the steri-strip and gel foam groups. The closure time increased in steri-strip and gel foam groups in comparison to conservative group and this difference is highly significant.

DOI

10.21608/amj.2020.67797

Keywords

Conservative, patching, Traumatic tympanic membrane perforation

Authors

First Name

Mohamed

Last Name

Abd El-Azez El-Daba

MiddleName

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Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Al-Azhar University

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Orcid

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First Name

Ahmed

Last Name

Mohamed Abd El-Fatah

MiddleName

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Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Al-Azhar University

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City

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Orcid

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First Name

Ahmed

Last Name

Mostafa Ahmed Abo Mansora

MiddleName

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Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Al-Azhar University

Email

ahmedmostafaabomansora@gmail.com

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Orcid

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Volume

49

Article Issue

2

Related Issue

10133

Issue Date

2020-04-01

Receive Date

2020-01-08

Publish Date

2020-04-01

Page Start

379

Page End

386

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_67797.html

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https://amj.journals.ekb.eg/service?article_code=67797

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4

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

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Article

Created At

22 Jan 2023