Silicon foil patching for blast tympanic membrane perforation: a retrospective study (CROSBI ID 320007)
Prilog u časopisu | pregledni rad (znanstveni) | međunarodna recenzija
Podaci o odgovornosti
Branica, Srećko ; Dawidowsky, Krsto ; Kovač Bilić, Lana ; Bilić, Mario
engleski
Silicon foil patching for blast tympanic membrane perforation: a retrospective study
Aim To establish whether covering the tympanic membrane perforation after war blast injury with silicon foil can enhance the ear drum healing rate and to determine the appropriate timing of silicon patching. Methods We retrospectively analyzed the charts of 210 patients wounded during the Homeland War in Croatia 1991-1995, with 315 blast tympanic membrane perforations. In 44 patients (61 perforations), the eardrum perforation was covered by silicon foil, whereas in 166 patients (254 perforations) it was left to heal spontaneously. The patients who underwent the patching procedure were divided in two groups according to the time period between the blast injury and the procedure: 38 perforations were treated within 3 days and 23 perforations were treated 4 to 6 days after the blast injury. Results The rate of tympanic membrane healing in the silicon foil patching group was significantly higher (91.8%) than that in the group of perforations left to heal spontaneously (79.9%, P = 0.029). The healing rate was significantly higher in the group treated within 3 days after the blast injury (97.4%) than in the group treated 4 to 6 days after the injury (82.6%, P = 0.042). Conclusion Covering the perforation after the war blast injury with silicon foil significantly improves the rate of tympanic membrane healing. To obtain the best healing outcome, the procedure should be performed within the first 72 hours after the trauma.
tympanic membrane ; perforation ; silicon
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Podaci o izdanju
60 (6)
2019.
503-507
objavljeno
0353-9504
1332-8166
10.3325/cmj.2019.60.503
Povezanost rada
Kliničke medicinske znanosti