Griffin W L
Laryngoscope. 1979 Feb;89(2 Pt 1):261-82. doi: 10.1288/00005537-197902000-00009.
A retrospective study of 227 traumatic tympanic membrane perforations was made. These perforations were treated in a clinical practice of otolaryngology between January 1969 and July 1977. The following conclusions were supported by the data obtained: 1. Larger perforations are less likely to heal spontaneously. 2. Lightning and molten metal injuries are less likely to heal spontaneously. 3. Final healing and hearing results are good regardless of the mode of therapy employed. 4. Spontaneous healing gives better results than early surgical intervention. 5. Infection adversely affects healing in traumatic perforations. Based on information delineated in the paper, a logical plan of treatment for traumatic perforations is presented.
对227例外伤性鼓膜穿孔进行了回顾性研究。这些穿孔在1969年1月至1977年7月的耳鼻喉科临床实践中接受了治疗。所获得的数据支持以下结论：1. 较大的穿孔自发愈合的可能性较小。2. 雷击和熔融金属损伤自发愈合的可能性较小。3. 无论采用何种治疗方式，最终的愈合和听力结果都很好。4. 自发愈合比早期手术干预效果更好。5. 感染对外伤性穿孔的愈合有不利影响。根据该论文中描述的信息，提出了外伤性穿孔的合理治疗方案。
