Spontaneous closure of traumatic tympanic membrane perforation following long-term observation.

Abstract:

BACKGROUND:Traumatic tympanic membrane perforation (TTMP) is usually managed conservatively because most close spontaneously within a few months. Nevertheless, spontaneous closure of TTMP during long-term observation has not been well described in the literature. OBJECTIVES:The present study investigated factors associated with spontaneous closure of TTMP, and the characteristics of cases exhibiting spontaneous closure following long-term observation. MATERIALS AND METHODS:The medical records of 40 patients with TTMP who visited the authors' hospital were retrospectively reviewed. RESULTS:Spontaneous closure was observed in 27 (67.5%) patients. The healing period was <2 weeks in 6 cases, <4 weeks in 9, <3 months in 5, <6 months in 3, and ≥6 months in 4. All four cases in which spontaneous closure took ≥6 months exhibited a sign of spontaneous closure at 6 months following injury. Perforation in contact with the malleus was associated with a lower frequency of spontaneous closure. CONCLUSIONS AND SIGNIFICANCE:In TTMP, surgery should be considered in patients who exhibit perforation in contact with the malleus. However, it has also been suggested that long-term observation may be a viable treatment option when a sign of spontaneous closure is observed within 6 months following injury.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Tachibana T,Kariya S,Orita Y,Makino T,Haruna T,Matsuyama Y,Komatsubara Y,Naoi Y,Nakada M,Noda Y,Sato Y,Nishizaki K

doi

10.1080/00016489.2019.1592225

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

487-491

issue

6

eissn

0001-6489

issn

1651-2251

journal_volume

139

pub_type

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