A rare cause of acute tympanic membrane perforation: a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20185325Keywords:
Tympanic membrane perforation, SneezingAbstract
This is a case report of 57yrs old gentleman who presented to accident and emergency department with complaints of sudden onset of left earache, tinnitus, feeling of fullness in the ear which he claimed to start following an episode of sudden sneezing, while he was trying to blow his nose by pinching it with 2 fingers. The tympanic membrane was ruptured. He was managed conservatively with analgesics. Spontaneous and complete healing of the perforated tympanic membrane occured within one month of follow up. It was shown that an episode of sneezing with nose closed can build up such a high pressure in the middle ear which can perforate a tympanic membrane.
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References
Howard ML, Talavera F, Gianoli GJ, Meyers AD. Middle ear, Tympanic membrane, perforations. Medscape. 2018.
Lou ZC, Lou ZH, Zhang QP. Traumatic tympanic membrane perforation – a study of etiology and Factors affecting outcome. Am J Otolaryngol. 2012;33(5):549-55.
Orji FT, Aqua CC. Patterns of hearing loss in tympanic membrane perforation resulting from physical blow to the ear –a prospective controlled cohort study. Clin Otolaryngol. 2009;34(6):526-32.
Yamazaki K, Ishijima K, Sato H. A Clinical study of traumatic tympanic membrane perforation. Nihon Jibinkoka Gakkai Kaiho. 2010;3(8):679-86.
Kuroda R. Clinical study on perforation of the tympanic membrane and discussion based on experimentally induced tympanic rupture. Nihon Jibiinkoka Gakkai Kaiho. 1993;96(9):1490-500.
Berger G, Finkelstein Y, Aurarham S. Patterns of hearing loss in non explosive blast injury of the ear. J Laryngol Otol. 1997;111(12):1139-41.
Griffin WL. Study of traumatic tympanic membrane perforations in a clinical practice. Laryngoscope. 1979;89:261-82.
Orji FT, Aqua CC. Determinants of spontaneous healing in traumatic perforation of the tympanic membrane. Clin otolaryngol 200833(5):420-6.
Lou ZC, Tang YMA. Prospective study evaluating spontaneous healing of aetiology, size, &type different groups of traumatic tympanic membrane perforations. Clin Otolaryngol. 2011;36(5):450-60.
Lindeman P, Edström S, Granström G, Jacobsson S, von Sydow C, Westin T. Acute traumatic tympanic membrane perforation: cover or observe? Arch Otolaryngol Head Neck Surg. 1987;113(12):1285-7.
Jensen JH, Banding P. Experimental pressure induced rupture of the tympanic membrane in man. Acta otolaryngol (stockh). 1993;113(1):62-7.