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An observational study of the management of traumatic tympanic membrane perforations

Published online by Cambridge University Press:  08 March 2006

J. E. O. Amadasun
J. E. O. Amadasun
Affiliation:
Westend Hospital and Diagnostic Centre, Warri, Nigeria
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Abstract

Controversies of how best to treat fresh tympanic membrane perforations have always existed. While some otolaryngologists prefer the paper patch method, others prefer modified myringoplasty. A prospective study is needed to investigate the most effective and least expensive management of this common ear trauma.

This study examined prospectively, in three sections, a group of patients with a cellophane patch (n = 6), another group with a gentamicin ointment seal (n = 15) and a control group (n = 9) with a gentamicin plug placed at the distal end of the external auditory cavity. Successful healing of the traumatic tympanic membrane perforations was achieved in 50 per cent of the cellophane seal group, 86.7 per cent of the gentamicin ointment seal group and 77.8 per cent of the control group. This study shows that the management of a fresh tympanic membrane perforation should be limited to cleaning the traumatized ear and preventing infection.

Keywords

TympanicMembranePerforation
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 3 , March 2002 , pp. 181 - 184
Copyright
© Royal Society of Medicine Press Limited 2002

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