Document Detail

An observational study of the management of traumatic tympanic membrane perforations.
MedLine Citation:
PMID:  11893258     Owner:  NLM     Status:  MEDLINE    
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.
J E O Amadasun
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  116     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-14     Completed Date:  2002-04-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  181-4     Citation Subset:  AIM; IM    
Westend Hospital and Diagnostic Centre, Warri, Nigeria.
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MeSH Terms
Administration, Topical
Anti-Bacterial Agents / administration & dosage,  therapeutic use*
Barotrauma / complications
Cellophane / therapeutic use
Gentamicins / administration & dosage,  therapeutic use*
Middle Aged
Occlusive Dressings*
Prospective Studies
Treatment Outcome
Tympanic Membrane Perforation / etiology,  pathology,  therapy*
Wound Healing
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Gentamicins; 9005-81-6/Cellophane

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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