儿童外伤性鼓膜穿孔：描述性横断面研究。
Traumatic Tympanic Membrane Perforation in Children: A Descriptive Cross-sectional Study.
机构信息
Department of ENT and Head and Neck Surgery, College of Medical Sciences, Chitwan, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2024 Jun 30;62(275):463-467. doi: 10.31729/jnma.8652.
INTRODUCTION
TTraumatic perforation of the tympanic membrane in pediatric population is often encountered in primary otolaryngologic clinics or in the emergency department. The objective of the study was to find out the clinical presentation of traumatic tympanic membrane perforation in the pediatric population.
METHODS
A cross-sectional study was done from February, 2023 to February, 2024 after obtaining the ethical approval from the Institutional Review Board (2023/114). All the patients aged less than 18 years and presenting with traumatic tympanic membrane perforation were included in the study. Collected data was entered and analysed using Microsoft Excel. Patients were evaluated for demographics, mechanism of trauma and clinical characteristics of ear drum perforation in children.
RESULTS
A total of 384 children aged less than 18 years were included in the study among which 267 (69.53%) were males. Physical assault 109 (28.39%) was the most common cause of tympanic membrane perforation. The most common symptom at the time of presentation was ear block/hearing loss 208 (54.16%). Conductive hearing loss was present in 214 (55.73%) children.
CONCLUSION
Traumatic perforation of the tympanic membrane resulted mostly from the blunt force trauma especially in male children.
简介
在初级耳鼻喉科诊所或急诊科，小儿群体中经常会遇到外伤性鼓膜穿孔。本研究的目的是找出小儿外伤性鼓膜穿孔的临床表现。
方法
本横断面研究于 2023 年 2 月至 2024 年 2 月在获得机构审查委员会的伦理批准（2023/114）后进行。所有年龄小于 18 岁且表现为外伤性鼓膜穿孔的患者均纳入研究。使用 Microsoft Excel 输入和分析收集的数据。对患者的人口统计学、创伤机制和儿童鼓膜穿孔的临床特征进行评估。
结果
本研究共纳入 384 名年龄小于 18 岁的儿童，其中 267 名（69.53%）为男性。身体攻击 109 例（28.39%）是鼓膜穿孔的最常见原因。就诊时最常见的症状是耳闷/听力下降 208 例（54.16%）。214 名（55.73%）儿童存在传导性听力损失。
结论
外伤性鼓膜穿孔主要由钝性外伤引起，尤其在男童中。
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