Volume : IX, Issue : VI, June - 2020

Role of Trichloroacetic Acid in Closure of Tympanic Membrane Perforations.

Avishek Dhiman, Anshul Kumar

Abstract :

Objective: The aim was to study the closure of central type of small and medium sized tympanic memane perforations by chemical cautery (TCA 50%) and improvement of symptoms, to analyse the effect of Gelfoam on small and medium sized tympanic memane perforations, and to examine the closure of tympanic memane perforations as an office procedure.Materials and Methods: In this study, 80 patients attending the ENT opd of civil hopital were enrolled. Cautery of dry perforation margin was carried out with 50% trichloroacetic acid (TCA). After TCA cautery,a piece of Gelfoam which was larger than the total size of perforation was taken and soaked with corticosteroid ointment and was carefully placed on the cauterized area of tympanic memberane under endoscopic visualization. In the perforations which was larger in size ,after application of TCA to the margins of the perforation, a piece of Gelfoam was soaked with corticosteroid ointment and was placed in the middle ear cavity instead of over tympanic memberane with the help of endoscope. Results: Patients had relief from various symptoms, such as aural fullness, tinnitus, heaviness, discharge from ear,pain in ear and so on. There was some amount of auditory improvement in most the cases clically. Conclusions: Chemical cautery with (TCA 50%) and patching up of perforated tympanic memane with gel form could be tried as the first management in the small to medium sized perforations before attempting the surgical closure with myringoplasty.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

ROLE OF TRICHLOROACETIC ACID IN CLOSURE OF TYMPANIC MEMBRANE PERFORATIONS., Avishek Dhiman, Anshul Kumar GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-9 | Issue-6 | June-2020

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