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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 30(6); 1987 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1987;30(6): 833-9.
A Clinical Study of 98 Cases of Traumatic Drum Perforation
Suk Joon Kim, MD, Kwang Eo Ko, MD, Gang Woo Jang, MD, Young Cheol Park, MD, Eun Chang Choi, MD, and Jae Kyun Park, MD
Department of Otolaryngology, Capital Armed Forces General Hospital, Seoul, Korea
외상성 고막천공 98례에 대한 임상적 고찰
김석준 · 고광어 · 장강우 · 박영철 · 최은창 · 박재균
국군수도병원 이비인후과
ABSTRACT

The authors observed and studied the clinical findings and healing process by their various treatments of 98 cases of traumatic drum perforations. All of the cases were obtained from C.A.F.G.H. between the year of 1986 to 1987. Results : 1) The main cause of drum perforation was indirect trauma(98.9%). 2) Left side was more frequently involved, especially in the anterior and inferior quadrant and intermediate portion. 3) Poor hearing was the most frequently complained, and otalgia, tinnitus was in their next order. 4) Medium sized, irregular-round and round shaped were most frequently seen. 5) In hearing loss, the posterior quadrant was more severe than anterior quadrant and the degree of loss was well correspond with the size of perforation. 6) Three ways of therapeutic method were compared to watch the healing process of the perforation. (1) Simple observation therapy : The perforation healing took about 2.5 weeks in small sized perforation, 3.4 weeks in medium sized perforation, 5.7 weeks in large sized perforation. (2) Stimulation therapy : The perforation healing took about 1.8 weeks in small sized perforation, 3.2 weeks in medium sized perforation, 4.6 weeks in large sized perforation. (3) Combination therapy(Stimulation therapy+Patch graft) : The perforation healing took about 3.5 weeks in medium sized perforation, 4.5 weeks in large sized perforation.

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