Department of Audiology, Shahid Beheshti University of Medical Sciences, Rehabilitation Faculty, , aliapeyvandi@yahoo.com
Abstract: (4278 Views)
Background: With respect to physical relations in force and pressure, we hypothesized
that the prevalence of traumatic tympanic membrane perforation in patients
with a patulous Eustachian tube is greater than normal, because in Eustachian tube
patency, the internal air pressure of the middle ear will not increase after compression,
subsequent to trauma. Therefore the force upon the tympanic membrane may cause it
to perforate easier.
Methods: In this study we evaluated 45 patients with traumatic tympanic membrane
perforation. After otoscopy, modified inflation-deflation test was performed to
determine the opening, closing, and residual pressure of the Eustachian tube.
Results: Approximately 60 percent had a patulous Eustachian tube, 27% had
poor Eustachian tube function and 13% had normal Eustachian tube function.
Conclusion: It appears that patients with a patulous Eustachian tube are probably
at high risk for traumatic tympanic membrane perforation.