Traumatic Perforation of Tympanic Membrane in A Tertiary Hospital in South-Eastern, Nigeria



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Submitted Jul 1, 2022
Published Sep 9, 2022
10.24018/clinicmed.2022.3.5.213

Abstract viewed = 370 times

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Introduction: Traumatic tympanic membrane (TM) perforation is a commonly encountered otological condition with consequent hearing impairment and potentials for more grievous complications. We aim to establish the prevalence, sex distribution, laterality and aetiological factors associated with traumatic TM perforation in our locality

Materials and Method: This is a 10 Year retrospective study involving patients who were managed for traumatic TM perforations at ENT outpatient clinic of Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State.

Results: A total of 186 patients were managed for traumatic TM perforation involving 190 ears. The prevalence was 4.9%; 66.1% were males, 33.9% females giving a male to female ratio of 2:1 while age ranges from 1-68 years (mean± SD was 22.23± 15years. Left ear was involved in 54.3% of the cases, right ear in 43.5% and both ears in 2.2%. The commonest cause of traumatic TM perforation was Assaults (58.1%) of various kinds; domestic violence was the commonest, accounting for 22% of all the assault cases followed by assaults from security men (15.1%), then, slap by school teachers, prefects and senior students (10.2%). Mob actions and attacks by Robbers constituted 10.2%. Fifteen percent (15%) of the cases resulted from ear cleaning with cotton bud (10.2%), broom stick (3.2%) and metallic objects (2.2%). Sports related injuries accounted for 2.7% of the cases. Various forms of accidents (8.1%) such as road traffic accidents (1.1%), accidents from work place (3.2%) and fireworks (1.6%) were recorded.

Conclusion: The predominance of slap as the major cause of TM perforation resulting from assaults shows how this condition is caused by avoidable circumstances. Every opportunity should be explored to educate the populace on the sequelae of such indiscriminate outburst of anger.

Keywords: Assaults, perforation, slap, tympanic membrane

References

  1. Sogebi OA, Oyewole EA, Mabifah TO. Traumatic tympanic membrane perforations: characteristics and factors affecting outcome. Ghana Med J. 2018; 52(1): 34-40.
     Google Scholar
  2. Lou ZC, Lou ZH, Zhang QP. Traumatic tympanic membrane perforations: A study of etiology and factors affecting outcome. Am J Otolaryngol - Head Neck Med Surg. 2012; 33(5): 549-555.
     Google Scholar
  3. Dawood MR. Evaluation of spontaneous healing of traumatic tympanic membrane perforation. Gen Med Open Access. 2014; 02(01): 24-29.
     Google Scholar
  4. Lou Z. How to manage the traumatic tympanic membrane perforations is best. Acta Otolaryngol. 2017; 137(1): 111-112.
     Google Scholar
  5. Chen F, Yang XP, Liu X, Dong DA, Zhou XR, Fan LH. Retrospective analysis of 24 cases of forensic medical identification on traumatic tympanic membrane perforations. Fa Yi Xue Za Zhi. 2018; 34(4): 392-395.
     Google Scholar
  6. Carniol ET, Bresler A, Shaigany K, Svider P, Baredes S, Eloy JA, et al. Traumatic tympanic membrane perforations diagnosed in Emergency Departments. JAMA Otolaryngol Head Neck Surg. 2018; 144(2): 136-139.
     Google Scholar
  7. da Lilly-Tariah OB, Somefun AO. Traumatic perforation of the tympanic membrane in University of Port Harcourt Teaching Hospital, Port Harcourt. Nigeria. Niger Postgrad Med J. 2007; 14(2): 121-124.
     Google Scholar
  8. Orji FT, Agu CC. Determinants of spontaneous healing in traumatic perforations of the tympanic membrane. Clin Otolaryngol. 2008; 33(5): 420-426.
     Google Scholar
  9. Adegbiji WA, Olajide GT, Olajuyin OA, Olatoke F, Nwawolo CC. Pattern of tympanic membrane perforation in a tertiary hospital in Nigeria. Niger J Clin Pract. 2018; 21(8): 1044-1049.
     Google Scholar
  10. Ologe FE. Traumatic perforation of the tympanic membrane in Ilorin, Nigeria. Nig J Surg. 2002; 8(1): 9-12.
     Google Scholar
  11. Atilade W, Gabriel A, Olajide T, Anthony O. Traumatic tympanic membrane perforation in tertiary health institution. J Middle East North Afr Sci. 2018; 4(01): 8-14.
     Google Scholar
  12. Henry M, Hern HG. Traumatic Injuries of the Ear, Nose and Throat. Emerg Med Clin North Am. 2019; 37(1): 131-136.
     Google Scholar
  13. Jellinge ME, Kristensen S, Larsen K. Spontaneous closure of traumatic tympanic membrane perforations: observational study. J Laryngol Otol. 2015; 129(10): 950-954.
     Google Scholar
  14. Hanege FM, Karaca S, Kalcioglu MT, Tekin M. Comparing Spontaneous closure and paper patching in traumatic tympanic membrane perforations. J Craniofac Surg. 2018; 29(7): 1922-1924.
     Google Scholar
  15. Sagiv 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(2): 186-190.
     Google Scholar
  16. Ungar OJ, Shilo S, Anat W, Cavel O, Handzel O, Oron Y. Blast-induced cholesteatomas after spontaneous tympanic membrane healing. Ann Otol Rhinol Laryngol. 2019; 128(12): 1147-1151.
     Google Scholar
  17. Rasool S, Ahmad F, Ahmad R. Traumatic tympanic membrane perforations: an overview in tertiary care hospital. Egypt J Otolaryngol. 2016; 32(3): 187-190.
     Google Scholar
  18. Afolabi OA, Suleiman AO, Aremu SK, Eleta AP, Alabi BS, Segun-Busari S et al. An audit of paediatric nasal foreign bodies in Ilorin, Nigeria. SAJCH South African J Child Heal. 2009; 3(2): 64-67.
     Google Scholar
  19. Hempel JM, Becker A, Müller J, Krause E, Berghaus A, Braun T. Traumatic tympanic membrane perforations: clinical and audiometric findings in 198 patients. Otol Neurotol. 2012; 33(8): 1357-1362.
     Google Scholar
  20. Sogebi OA, Oyewole EA, Mabifah TO. Traumatic tympanic membrane perforations: characteristics and factors affecting outcome. Ghana Med J. 2018; 52(1): 34-40.
     Google Scholar
  21. Afolabi OA, Aremu SK, Alabi BS, Segun-Busari S. Traumatic tympanic membrane perforation: An aetiological profile. BMC Res Notes. 2009; 2: 4-7.
     Google Scholar
  22. Orji FT, Agu CC. Determinants of spontaneous healing in traumatic perforations of the tympanic membrane. Clin Otolaryngol. 2008; 33(5): 420-426.
     Google Scholar
  23. Ibekwe TS, Adeosun AA, Nwaorgu OG. Quantitative analysis of tympanic membrane perforation: A simple and reliable method. J Laryngol Otol. 2009; 123(1).
     Google Scholar
  24. Sarojamma, Raj S, Satish H. A clinical study of traumatic perforation of tympanic membrane. IOSR J Dent Med Sci. 2014; 13: 24-28.
     Google Scholar
  25. Raj R, Meena SK, Meena DR, Meena M. A study on fate of traumatic tympanic membrane perforation. 2016; 2(3): 76-78.
     Google Scholar
  26. Ritenour AE, Wickley A, Ritenour JS, Kriete BR, Blackbourne LH, Holcomb JB, et al. Tympanic membrane perforation and hearing loss from blast overpressure in Operation Enduring Freedom and Operation Iraqi Freedom wounded. J Trauma. 2008.
     Google Scholar
  27. Cho S-I, Gao SS, Xia A,Wang R, Salles FT, Raphael PD, et al. Mechanisms of hearing loss after blast injury to the ear. PLoS One. 2013; 8(7): e67618.
     Google Scholar
  28. Al-Obiedi SH. Spontaneous healing of traumatic perforations of the tympanic membrane. Ann Coll Med Mosul. 2009; 35(1): 26-32.
     Google Scholar