Online ISSN: 2515-8260

Keywords : Assault


ETIOLOGICAL PROFILE AND OUTCOME OF TRAUMATIC TYMPANIC MEMBRANE PERFORATION

Dr.Anish Narayan Sur, Dr.Gundappa Mahajan, Dr.Vinod Shinde, Dr.Ruchir Dashora, Dr. Supriya Mathur, Dr. Parul Rathi

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 3248-3254

Traumatic perforation of the tympanic membrane is one of the commonest cause of perforation that is encountered by otolaryngologists. This study was undertaken to study the etiological profile and outcome of traumatic tympanic membrane perforations.
Methods: A total of 60 patients were taken in this study who had perforation of tympanic membrane due to trauma. A detailed history was taken followed by general and ENT examination. Pure tone audiometry was done in all the patients. Tympanic membrane perforations were visualized using otoscope and under examination under microscope was done. A conservative management approach was adopted, except for those with bloody or watery discharge who received oral/systemic antibiotics to prevent infections. Patients were followed up
Results: Most of the affected patients fall in the age group of 31-40 years. Sex ratio(male:female) is 1.73:1. The chief complaints were tinnitus (86.7%) being the most common, ear pain (81.7%),hearing loss(63.3%),aural fullness(43.3%),ear bleed(25%) and vertigo(10%). Etiologically most common cause was assault(36.7%),followed by self ear cleaning(23.3%), road traffic accidents (15%), ,foreign body of the ear(10%),instrumentation (ear syringing and foreign body removal)(10%),fall(3.3%) and blast injuries(1.7%).In 42(70%) left ear was involved and 18(30%) right ear was involved. Among all the patients, spontaneous healing within 3 months was seen in 52(86.7%) patients and no healing with residual perforation was seen in 8(13.3%) of patients, who underwent tympanoplasty at the end of 3 months
Conclusion: Traumatic perforations have a really favourable prognosis rate if they're treated promptly and with the appropriate safeguards.

A study on profile of assault cases presenting to the casualty of tertiary care hospital

Venkatesaprasanna J, Prasanna Parthasarathy, Thumma Amar, Vijayakumar Nair G, Shilpa T Patil

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 8, Pages 1990-1995

Physical assault is one of the world’s leading cause of morbidity and mortality which can be preventable. In India, assaultive violence tops the list in 15-24 years age group, placing heavy burden on health care facilities. The present study was carried out with objectives to study the pattern and distribution of injuries in cases of physical assault, and the age and sex distribution of victims.
Methodology: The study was carried out in the Casualty of a Tertiary Care Hospital, in the state of Puducherry, over a period of 12 months from January 2021 to December 2021. A total of 200 cases of alleged assault were included in the study.
Results: Males (79%) outnumbered females (21%). Commonest age group affected was 16-25 years (53%), followed by 26-35 years (35%). In 79% of cases, the assailant was known to the victim. Majority of the assaults occurred on streets (41%), and during the night hours (53%). Most common type of injuries sustained by the victims were contusions (41%), followed by abrasions (24.5%). Most commonly affected region of the body was head & neck region (40.5%) followed by the upper limbs (27.5%). 28.5% of victims had sustained grievous injuries. Blunt weapon was most commonly used (46%). Majority of the cases (65%) were treated conservatively.
Conclusion: Males in the age group of 15-34 years were found to be more susceptible to physical assault some of which were grievous in nature. Incidents were predominant in the night hours and on the streets. Blunt trauma, contusions being the commonest form, with head and neck region bearing the brunt.