ABSTRACT
OBJECTIVE: To study the type and severity of ear injuries in blast victims
STUDY DESIGN: An observational study conducted in the department of ENT, Combined Military Hospital, Rawalpindi from January 2007 to September 2009
PATIENTS AND METHODS: 62 blast victims who were brought to ENT department CMH Rawalpindi without previous history of ear disease in this duration were studied for type and severity of ear injuries. All cases underwent clinical examination of ear including otoscopy. Pure tone audiometry [PTA] was performed in all the cases
RESULTS: Out of 62 patients, 80.6 %[ 50] were male and 19.4 %[ 12] female. Age group varied from 13 to 60 years
Tympanic membrane rupture was the commonest finding present in 64.5%[40] individuals,17.7% [11] had perforation of right TM and 22.6%[14] had left TM perforation. Bilateral TM perforation was present in 24.2% [15] cases. Laceration of pinna was found in 11.2 %[ 7] patients and hemotympanum was present in 9.65% [6] cases [Fig: 1]. 79% [49] patients had hearing loss greater than 25 dB, out of which 22 were bilateral and 27 cases had unilateral involvement. So total of 71 ears were having hearing loss. 73.2% [52] had mixed hearing loss, 15.5% [11] pure conductive and 11.3% [8] pure sensorineural losses [Fig: 2]
CONCLUSION: Tympanic membrane perforation was the commonest injury followed by laceration pinna and hemotympanum. Hearing loss was seen in 79% patients of whom mixed type of loss was the commonest
ABSTRACT
Objective: to compare the efficacies of 10% Icthammol glycerine and 3% Ciprofloxacin - 1% Dexamethasone by means of sustained release of drug by wick method in treatment of otitis externa
Study design: quasi experimental study
Place and duration of study: department of ENT CMH, Rawalpindi from Jan 2007 to Jan 2008
Methodology: 100 patients who met the inclusion criteria were included in study divided into two equal groups of 50 each by random sampling technique. The patients in group A were given 3% Ciprofloxacin - 1% Dexamethasone and patients in group B were given 10% Icthammol glycerine wick. Both groups of patients were analyzed on third day for reduction in pain by Visual Analogue Scale [VAS] and visible reduction of edema by degree of opening of External Auditory Canal [EAC]
Results: out of 50 patients in group A 76 %[ 38] were males and 24 %[ 12] females.66 %[ 33] patients in group B were males and 34 %[ 17] females. On third day in group A, 76 %[ 38] patients had marked reduction of pain whereas14 %[ 7] had moderate and 10 %[ 5] had mild reduction. In group B, on third day 38% [19] patients had marked pain reduction, 30% [15] had moderate and 32% [16] had mild pain reduction. 86%[ 43] patients in group A had visible reduction of external canal edema as compared to 60%[30]patients in group B
Conclusion: 3% Ciprofloxacin - 1% Dexamethasone wick is more effective in treating patients of otitis externa as compared to 10% Icthammol glycerine wick