Spontaneous closure of traumatic tympanic membrane perforation following long-term observation

Tomoyasu Tachibana, Shin Kariya, Yorihisa Orita, Takuma Makino, Takenori Haruna, Yuko Matsuyama, Yasutoshi Komatsubara, Yuto Naoi, Michihiro Nakada, Yohei Noda, Yasuharu Sato, Kazunori Nishizaki

Research output: Contribution to journalArticle

Abstract

Background: Traumatic tympanic membrane perforation (TTMP) is usually managed conservatively because most close spontaneously within a few months. Nevertheless, spontaneous closure of TTMP during long-term observation has not been well described in the literature. Objectives: The present study investigated factors associated with spontaneous closure of TTMP, and the characteristics of cases exhibiting spontaneous closure following long-term observation. Materials and Methods: The medical records of 40 patients with TTMP who visited the authors’ hospital were retrospectively reviewed. Results: Spontaneous closure was observed in 27 (67.5%) patients. The healing period was <2 weeks in 6 cases, <4 weeks in 9, <3 months in 5, <6 months in 3, and ≥6 months in 4. All four cases in which spontaneous closure took ≥6 months exhibited a sign of spontaneous closure at 6 months following injury. Perforation in contact with the malleus was associated with a lower frequency of spontaneous closure. Conclusions and Significance: In TTMP, surgery should be considered in patients who exhibit perforation in contact with the malleus. However, it has also been suggested that long-term observation may be a viable treatment option when a sign of spontaneous closure is observed within 6 months following injury.

Original languageEnglish
JournalActa Oto-Laryngologica
DOIs
Publication statusPublished - Jan 1 2019

Fingerprint

Tympanic Membrane Perforation
Observation
Malleus
Wounds and Injuries
Medical Records

Keywords

  • long-term observation
  • spontaneous closure
  • Traumatic tympanic membrane perforation

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Spontaneous closure of traumatic tympanic membrane perforation following long-term observation. / Tachibana, Tomoyasu; Kariya, Shin; Orita, Yorihisa; Makino, Takuma; Haruna, Takenori; Matsuyama, Yuko; Komatsubara, Yasutoshi; Naoi, Yuto; Nakada, Michihiro; Noda, Yohei; Sato, Yasuharu; Nishizaki, Kazunori.

In: Acta Oto-Laryngologica, 01.01.2019.

Research output: Contribution to journalArticle

Tachibana, Tomoyasu ; Kariya, Shin ; Orita, Yorihisa ; Makino, Takuma ; Haruna, Takenori ; Matsuyama, Yuko ; Komatsubara, Yasutoshi ; Naoi, Yuto ; Nakada, Michihiro ; Noda, Yohei ; Sato, Yasuharu ; Nishizaki, Kazunori. / Spontaneous closure of traumatic tympanic membrane perforation following long-term observation. In: Acta Oto-Laryngologica. 2019.
@article{1627922fb3074af5a5278af9361788e3,
title = "Spontaneous closure of traumatic tympanic membrane perforation following long-term observation",
abstract = "Background: Traumatic tympanic membrane perforation (TTMP) is usually managed conservatively because most close spontaneously within a few months. Nevertheless, spontaneous closure of TTMP during long-term observation has not been well described in the literature. Objectives: The present study investigated factors associated with spontaneous closure of TTMP, and the characteristics of cases exhibiting spontaneous closure following long-term observation. Materials and Methods: The medical records of 40 patients with TTMP who visited the authors’ hospital were retrospectively reviewed. Results: Spontaneous closure was observed in 27 (67.5{\%}) patients. The healing period was <2 weeks in 6 cases, <4 weeks in 9, <3 months in 5, <6 months in 3, and ≥6 months in 4. All four cases in which spontaneous closure took ≥6 months exhibited a sign of spontaneous closure at 6 months following injury. Perforation in contact with the malleus was associated with a lower frequency of spontaneous closure. Conclusions and Significance: In TTMP, surgery should be considered in patients who exhibit perforation in contact with the malleus. However, it has also been suggested that long-term observation may be a viable treatment option when a sign of spontaneous closure is observed within 6 months following injury.",
keywords = "long-term observation, spontaneous closure, Traumatic tympanic membrane perforation",
author = "Tomoyasu Tachibana and Shin Kariya and Yorihisa Orita and Takuma Makino and Takenori Haruna and Yuko Matsuyama and Yasutoshi Komatsubara and Yuto Naoi and Michihiro Nakada and Yohei Noda and Yasuharu Sato and Kazunori Nishizaki",
year = "2019",
month = "1",
day = "1",
doi = "10.1080/00016489.2019.1592225",
language = "English",
journal = "Acta Oto-Laryngologica",
issn = "0001-6489",
publisher = "Informa Healthcare",

}

TY - JOUR

T1 - Spontaneous closure of traumatic tympanic membrane perforation following long-term observation

AU - Tachibana, Tomoyasu

AU - Kariya, Shin

AU - Orita, Yorihisa

AU - Makino, Takuma

AU - Haruna, Takenori

AU - Matsuyama, Yuko

AU - Komatsubara, Yasutoshi

AU - Naoi, Yuto

AU - Nakada, Michihiro

AU - Noda, Yohei

AU - Sato, Yasuharu

AU - Nishizaki, Kazunori

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Traumatic tympanic membrane perforation (TTMP) is usually managed conservatively because most close spontaneously within a few months. Nevertheless, spontaneous closure of TTMP during long-term observation has not been well described in the literature. Objectives: The present study investigated factors associated with spontaneous closure of TTMP, and the characteristics of cases exhibiting spontaneous closure following long-term observation. Materials and Methods: The medical records of 40 patients with TTMP who visited the authors’ hospital were retrospectively reviewed. Results: Spontaneous closure was observed in 27 (67.5%) patients. The healing period was <2 weeks in 6 cases, <4 weeks in 9, <3 months in 5, <6 months in 3, and ≥6 months in 4. All four cases in which spontaneous closure took ≥6 months exhibited a sign of spontaneous closure at 6 months following injury. Perforation in contact with the malleus was associated with a lower frequency of spontaneous closure. Conclusions and Significance: In TTMP, surgery should be considered in patients who exhibit perforation in contact with the malleus. However, it has also been suggested that long-term observation may be a viable treatment option when a sign of spontaneous closure is observed within 6 months following injury.

AB - Background: Traumatic tympanic membrane perforation (TTMP) is usually managed conservatively because most close spontaneously within a few months. Nevertheless, spontaneous closure of TTMP during long-term observation has not been well described in the literature. Objectives: The present study investigated factors associated with spontaneous closure of TTMP, and the characteristics of cases exhibiting spontaneous closure following long-term observation. Materials and Methods: The medical records of 40 patients with TTMP who visited the authors’ hospital were retrospectively reviewed. Results: Spontaneous closure was observed in 27 (67.5%) patients. The healing period was <2 weeks in 6 cases, <4 weeks in 9, <3 months in 5, <6 months in 3, and ≥6 months in 4. All four cases in which spontaneous closure took ≥6 months exhibited a sign of spontaneous closure at 6 months following injury. Perforation in contact with the malleus was associated with a lower frequency of spontaneous closure. Conclusions and Significance: In TTMP, surgery should be considered in patients who exhibit perforation in contact with the malleus. However, it has also been suggested that long-term observation may be a viable treatment option when a sign of spontaneous closure is observed within 6 months following injury.

KW - long-term observation

KW - spontaneous closure

KW - Traumatic tympanic membrane perforation

UR - http://www.scopus.com/inward/record.url?scp=85063964050&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85063964050&partnerID=8YFLogxK

U2 - 10.1080/00016489.2019.1592225

DO - 10.1080/00016489.2019.1592225

M3 - Article

C2 - 30957610

AN - SCOPUS:85063964050

JO - Acta Oto-Laryngologica

JF - Acta Oto-Laryngologica

SN - 0001-6489

ER -