Evaluation of influencing factors of treatment duration in patients with traumatic eardrum rupture

Abstract

Background. Traumatic rupture of the eardrum is one of the most common cases following traumatic events, requiring medical care and sometimes surgery for treatment, which means the imposition of financial costs on the individual and society. Therefore, the aim of this study was to evaluate the factors influencing treatment duration in patients with traumatic eardrum rupture. Methods. In this cross-sectional analytical study, 100 patients were selected in accordance with the inclusion criteria. Based on the otoscopic examination of the tympanic membrane, a small tear (Pin Point) was defined as a case that was less than 1.4 (quarter) of the tympanic membrane, and a medium tear (Medium) was defined as a rupture that was less than 1.4 (quarter) of the tympanic membrane. Up to half of the tympanic membrane and large ruptures (Large) included more than half of the tympanic membrane and to determine the extent of hearing loss in these patients in decibels, audiogram, tympanogram, ECV, SDS and SRT were performed on all patients. Results. The mean age of the patients was 35.44±11.70 years with a median of 33 years. The minimum age of the patients was 10 years and the maximum was 63 years. 72% of patients were male and 28% were female. Regarding the location of rupture of the eardrum in the studied patients, it was observed that in 60 cases (60%) the rupture was in the lower posterior location, in 38 cases (38%) it was in the upper posterior location and only in 2 cases (2%) it was in the middle location of the eardrum. Eleven percent of patients recovered in the first month, 44 percent in the second month, 21 percent in the third month, and 24 percent did not recover. Conclusion. It can be concluded that eardrum rupture seems to occur most frequently around the age of 30 and is more common in males. Also, the lack of improvement in the present study was 24%. In addition, in the present study, there was a statistically significant relationship between extensive bleeding of the eardrum and the space behind the eardrum and the time of repair. Practical Implications. in traumatic perforation of tympanic membrane proper care and prevention of infection cause high healing rate.