Pattern and causes of tympanic membrane perforation at a private hospital in Dar es Salaam, Tanzania
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Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
South Sudan Doctors' Association
Abstract
Introduction: There is variation in the size, shape and position of tympanic
membrane perforations; the degree of conductive hearing loss depends on the size
and position of perforation.
Objective: To determine the pattern and causes of tympanic membrane perforation
at a private health facility in Tanzania
Method: A hospital-based cross-sectional study in the ENT clinic at Ekenywa
Specialised Hospital was conducted from January to May 2019. Ears were examined
thoroughly by an Otorhinolaryngologist. Data were analysed using SPSS Version 21
Results: Two hundred and fifty patients were examined and 50 (20%) were found
to have tympanic membrane perforations. Thirty (60%) were new patients while
twenty (40%) were under review. Most 35(70%) were males. Central perforation
predominated in 30 (60%), followed by subtotal in 10 (20%), total in 8 (16%) and
marginal perforations in 2 (4%). The left ear was more affected in (60%) than the
right ear. Bilateral perforations accounted for 5 (10%) of cases. Chronic suppurative
otitis media was found in 35 (70%); other causes were acute suppurative otitis media
in 13 (26%) and trauma in 2 (4%) patients
Conclusions: The clinical picture depicted in this study is similar to that found
elsewhere. There is a need for prompt diagnosis of tympanic membrane perforation.
Proper education on ear care in patients with perforated tympanic membrane is of
paramount importance.
Description
Full text article. Also available at https://www.ajol.info/index.php/ssmj/article/view/192920
Keywords
Tympanic membrane, Perforation, Tympanic membrane perforations, Otorhinolaryngology, Perforated tympanic membrane, Otitis media, Tanzania
Citation
Abraham, Z. S., Kahinga, A. A., Mapondella, K. B., Massawe, E. R., Lengine, E. O., & Ntunaguzi, D. (2019). Pattern and causes of tympanic membrane perforation at a private hospital in Dar es Salaam, Tanzania. South Sudan Medical Journal, 12(4), 128-130.