¸ñÀû: We have been analyzing cases of the posttraumatical perforation of
the
ear drum. ¹æ¹ý:It was made an examination of 52 patients, aged 12-56, with the
posttraumatical perforation of the ear drum., who had undergone a
cure
at Central Hospital of Republic of Moldova for the period 2009-
2013. 35
female, 17 male. °á°ú:In most cases the trauma was the result of a stroke 34 patients, 11
patients tried to remove the auricle cerumen themselves, in 7 cases
there were the iatrogenous traumas removal of the auricle cerumen
with the help of the hook or washing of the external acoustic meatus.
The patients had visited the clinic during the first 10 days after
trauma.In 14 patients there also was present the disturbance of the
neurosensorial conductibility.All patients without purulent
complications received the prophylactic antibioticotherapy of the
large spectrum of action. It was efectuated the local meatal
anaesthesy by the retroauricular approach ( by Soldatov). The edges of
the perforation were turrned into the tympanal cavity with sharing
common frontiers (under the microscope). There was placed a round graf
of plaster scotch above the rupture. After that the plaster sticked
out. In 14 cases it was necessary the surgery (myryngoplasty). All the
manipulations were executed in ambulatory conditions. The
transtympanic instillation was contraindicated absolutely. The
complete close of the tympanic membrane took place in 28 out of 38
patients. In 14 patients the defect of the tympanic membrane remained
and consisted more than 1/3 of its area, that needed performing
myringoplasty. °á·Ð:The method of the closure of traumatic ruptures of the tympanic
membrane
with the graf of plaster is accessible and effective and has the
good
anatomic and functional result. |