Lindeman P, Edström S, Granström G, Jacobsson S, von Sydow C, Westin T, Aberg B
Department of Otorhinolaryngology, Mölndal Central Hospital, Sweden.
Arch Otolaryngol Head Neck Surg. 1987 Dec;113(12):1285-7. doi: 10.1001/archotol.1987.01860120031002.
The influence of a paper prosthesis on healing in acute traumatic tympanic membrane perforations was studied in 60 patients randomly selected for a treatment group or a control group. The majority (42 [70%] ) were seen within two days. All patients were treated with oral antibiotics for ten days. The overall healing rate two months after the trauma was 94% (37 of 39 patients). No significant difference between the study group and the control patients was observed. Intermittent secretion was seen in six patients but did not influence the outcome. The perforations occurred in patients with normally sized mastoid air cell systems as seen on roentgenograms. We conclude that acute traumatic tympanic membrane perforations do not need to be treated routinely with paper patching.
对60例急性外伤性鼓膜穿孔患者进行了随机分组，研究纸质假体对其愈合的影响，其中一组为治疗组，另一组为对照组。大多数患者（42例[70%]）在两天内就诊。所有患者均接受了为期十天的口服抗生素治疗。外伤后两个月的总体愈合率为94%（39例患者中的37例）。研究组与对照患者之间未观察到显著差异。6例患者出现间歇性分泌物，但未影响治疗结果。X线片显示穿孔发生在乳突气房系统大小正常的患者中。我们得出结论，急性外伤性鼓膜穿孔无需常规采用纸质贴片治疗。
