Study of Conservative Treatment in Traumatic Perforation of Tympanic Membrane and Its Clinical Outcome

Abstract

Introduction: A large majority of patients with history of injury over the temporal region present with traumatic perforation of tympanic membrane the ENT outpatient department or emergency department Aim: To assess the clinical outcome in patients with conservative treatment for traumatic perforation of tympanic membrane at the end of three months follow-up. Materials and methods: It a prospective study conducted at McGann Teaching Hospital, Shimoga from Aug 2014 to July 2015. 70 (72 as two patient had bilateral ear involvement ) patients who presented with injury to ear were examined and found to have traumatic perforation of tympanic membrane all patients were treated conservatively and followed up three months. Result: Majority of the patients were between 21-30 year age group male to female ratio is 3.1 :1\. 42.8% gave history of assault / slap over the corresponding side of the face. 37.14% presented with history of RTA. 14.2% history of self fall. 61 patients out of 70 had hard of hearing and tinnitus as associated symptoms. at the end of three months 63 perforated tympanic membrane showed spontaneous healing with resolution of tinnitus and those with mild to moderate conductive hearing loss (27 Patients ) showed remarkable improvement in hearing