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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Croatian Medical Schools
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952904/ https://www.ncbi.nlm.nih.gov/pubmed/31894915 http://dx.doi.org/10.3325/cmj.2019.60.503 |
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author | Branica, Srećko Dawidowsky, Krsto Kovač-Bilić, Lana Bilić, Mario |
author_facet | Branica, Srećko Dawidowsky, Krsto Kovač-Bilić, Lana Bilić, Mario |
author_sort | Branica, Srećko |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6952904 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Croatian Medical Schools |
record_format | MEDLINE/PubMed |
spelling | pubmed-69529042020-01-16 Silicon foil patching for blast tympanic membrane perforation: a retrospective study Branica, Srećko Dawidowsky, Krsto Kovač-Bilić, Lana Bilić, Mario Croat Med J Research Article 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. Croatian Medical Schools 2019-12 /pmc/articles/PMC6952904/ /pubmed/31894915 http://dx.doi.org/10.3325/cmj.2019.60.503 Text en Copyright © 2019 by the Croatian Medical Journal. All rights reserved. http://creativecommons.org/licenses/by/2.5/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Branica, Srećko Dawidowsky, Krsto Kovač-Bilić, Lana Bilić, Mario Silicon foil patching for blast tympanic membrane perforation: a retrospective study |
title | Silicon foil patching for blast tympanic membrane perforation: a retrospective study |
title_full | Silicon foil patching for blast tympanic membrane perforation: a retrospective study |
title_fullStr | Silicon foil patching for blast tympanic membrane perforation: a retrospective study |
title_full_unstemmed | Silicon foil patching for blast tympanic membrane perforation: a retrospective study |
title_short | Silicon foil patching for blast tympanic membrane perforation: a retrospective study |
title_sort | silicon foil patching for blast tympanic membrane perforation: a retrospective study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952904/ https://www.ncbi.nlm.nih.gov/pubmed/31894915 http://dx.doi.org/10.3325/cmj.2019.60.503 |
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