尼日利亚哈科特港哈科特港大学教学医院的鼓膜外伤性穿孔

Traumatic perforation of the tympanic membrane in University of Port Harcourt Teaching Hospital, Port Harcourt. Nigeria.

作者信息

da Lilly-Tariah O B, Somefun A O

机构信息

Department of Surgery, College of Health Sciences, University of Port Harcourt, Nigeria.

出版信息

Niger Postgrad Med J. 2007 Jun;14(2):121-4.

PMID:17599109

Abstract

OBJECTIVE

To evaluate the causes, clinical features and treatment of traumatic tympanic membrane perforation in University of Port Harcourt Teaching Hospital.

PATIENTS AND METHODS

Patients with traumatic perforation of the tympanic membrane from August 2003 to February 2005 were evaluated clinically to determine the cause and the site of perforation. They had pure tone audiometry done. Treated by non- surgical means and followed up.

RESULTS

Fifty- eight (8.6%) patients with traumatic perforation were seen among 676 patients with aural diseases. Average age was 27.56 years. Causes of traumatic perforation were, fights with spouse 27.6%, street fights 19%, instrumentation 17.2% and state security agents 15.5%. Hearing loss 94.8%, tinnitus 84.5% and otalgia 67.2% were common complaints. 63.8% had perforation in the lower half of pars tensa. 42.4% had mild conductive hearing impairment. 29.3% healed within 3 weeks.

CONCLUSION

Physical blow to the ear was the commonest cause of tympanic perforation.

摘要

目的

评估哈科特港大学教学医院外伤性鼓膜穿孔的病因、临床特征及治疗方法。

患者与方法

对2003年8月至2005年2月期间外伤性鼓膜穿孔患者进行临床评估，以确定穿孔的原因和部位。对他们进行纯音听力测定。采用非手术方法治疗并进行随访。

结果

在676例耳部疾病患者中，有58例（8.6%）为外伤性穿孔患者。平均年龄为27.56岁。外伤性穿孔的原因包括：与配偶打架占27.6%，街头斗殴占19%，器械损伤占17.2%，国家安全人员所致占15.5%。常见症状有听力损失94.8%、耳鸣84.5%和耳痛67.2%。63.8%的患者紧张部下半部穿孔。42.4%的患者有轻度传导性听力障碍。29.3%的患者在3周内愈合。