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The effects of everted or inverted edges on healing of traumatic-induced tympanic membrane perforations

Published online by Cambridge University Press:  03 December 2019

Z-C Lou
Z-C Lou*
Affiliation:
Department of Otorhinolaryngology, Yiwu Central Hospital, China
*
Author for correspondence: Dr Zhen-Cai Lou, Department of Otorhinolaryngology, Yiwu Central Hospital, 699 Jiangdong Road, Yiwu, Zhejiang322000, China E-mail: louzhengcai@163.com Fax: +86 057 9520 9678
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Abstract

Objectives

To evaluate the healing and hearing outcomes related to the everted or inverted edge area on slap- and fist-induced large tympanic membrane perforations.

Methods

A total of 120 patients with slap- or fist-induced tympanic membrane perforations, with inverted or everted edges, affecting 50–75 per cent of the entire tympanic membrane, were randomly divided into 2 groups: an edge approximation group and a spontaneous healing group. The edge approximation group was divided into subgroups A and B based on the reversed edge area (reversed edge was more or less than 50 per cent of the total perforation, respectively). Healing outcomes and hearing improvements at six months were compared.

Results

The data of 118 patients were analysed. The closure rate of perforations in subgroup A, subgroup B, and the spontaneous healing group was 90.9 per cent, 92.1 per cent and 84.5 per cent, respectively; the difference between the three groups was not significant (p = 0.393).

Conclusion

The area of reversed edges for slap- or fist-induced tympanic membrane perforations did not seem to affect healing and hearing outcomes, regardless of edge approximation and everted or inverted edges.

Keywords

Wounds And InjuriesTympanic Membrane PerforationWound HealingTreatment Outcome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 12 , December 2019 , pp. 1092 - 1096
Copyright
Copyright © JLO (1984) Limited, 2019

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Footnotes

Dr Z-C Lou takes responsibility for the integrity of the content of the paper

References

1Afolabi, OA, Aremu, SK, Alabi, BS, Segun-Busari, S.Traumatic tympanic membrane perforation: an aetiological profile. BMC Res Notes 2009;2:232CrossRefGoogle Scholar
2Sagiv, D, Migirov, L, Glikson, E, Mansour, J, Yousovich, R, Wolf, M et al. Traumatic perforation of the tympanic membrane: a review of 80 cases. J Emerg Med 2018;54:186–90CrossRefGoogle ScholarPubMed
3Lou, ZC, Lou, ZH, Zhang, QP.Traumatic tympanic membrane perforations: a study of etiology and factors affecting outcome. Am J Otolaryngol 2012;33:549–55CrossRefGoogle ScholarPubMed
4Lou, ZC, Tang, YM, Yang, J.A prospective study evaluating spontaneous healing of aetiology, size and type-different groups of traumatic tympanic membrane perforation. Clin Otolaryngol 2011;36:450–60CrossRefGoogle ScholarPubMed
5Armstrong, B.Traumatic perforations of the tympanic membrane: observe or repair? Laryngoscope 1972;82:1822–30CrossRefGoogle ScholarPubMed
6Meyerhoff, WL, Marple, BF, Roland, PS.Tympanic membrane, middle ear, and mastoid. In: Roland, PS, Marple, BF, Meyerhoff, WL, eds. Hearing Loss. New York: Thieme Medical Publishers, 1997;155–94Google Scholar
7Saito, H, Kazama, Y, Yazawa, Y.Simple maneuver for closing traumatic eardrum perforation by micropore strip tape patching. Am J Otol 1990;11:427–30Google ScholarPubMed
8Park, MK, Kim, KH, Lee, JD, Lee, BD.Repair of large traumatic tympanic membrane perforation with a Steri-Strips patch. Otolaryngol Head Neck Surg 2011;145:581–5CrossRefGoogle ScholarPubMed
9Jung, JY, Yun, HC, Kim, TM, Joo, JW, Song, IS, Rah, YC et al. Analysis of effect of eggshell membrane patching for moderate-to-large traumatic tympanic membrane perforation. J Audiol Otol 2017;21:39–43CrossRefGoogle ScholarPubMed
10Laccourreye, O, Maisonneuve, H.Toward a new threshold for the P value? Eur Ann Otorhinolaryngol Head Neck Dis 2018;135:299CrossRefGoogle Scholar
11Aktaş, D, Kutlu, R.The relationship between traumatic tympanic membrane perforations and pneumatization of the mastoid. ORL J Otorhinolaryngol Relat Spec 2000;62:311–15CrossRefGoogle ScholarPubMed
12Camnitz, PS, Bost, WS.Traumatic perforations of the tympanic membrane: early closure with paper tape patching. Otolaryngol Head Neck Surg 1985;93:220–3CrossRefGoogle ScholarPubMed
13Jun, HJ, Oh, KH, Yoo, J, Han, WG, Chang, J, Jung, HH et al. A new patch material for tympanic membrane perforation by trauma: the membrane of a hen egg shell. Acta Otolaryngol 2014;134:250–4CrossRefGoogle ScholarPubMed
14Niklasson, A, Tano, K.The Gelfoam® plug: an alternative treatment for small eardrum perforations. Laryngoscope 2011;121:782–4CrossRefGoogle ScholarPubMed
15Lou, ZC, Tang, YM, Chen, HY, Xiao, J.The perforation margin phenotypes and clinical outcome of traumatic tympanic membrane perforation with a Gelfoam patch: our experience from a retrospective study of seventy-four patients. Clin Otolaryngol 2015;40:389–92CrossRefGoogle ScholarPubMed
16Kronenberg, J, Ben-Shoshan, J, Modan, M, Leventon, G.Blast injury and cholesteatoma. Am J Otol 1988;9:127–30Google ScholarPubMed