OBJECTIVE: To see the outcome of treatment of small perforations of tympanic membranes in outpatient clinic.
STUDY DESIGN: A Retrospective interventional study.
PLACE AND DURATION: ENT Department of Jaber Al-Ahmed Armed Forces Hospital Kuwait from 1st January 2007 to 31st December
METHODOLOGY: Selected 63 cases of dry/ wet central perforation of tympanic membranes were treated in outpatient clinic with the
help of filter paper and Argyrols. Actively discharging, diabetic, hypetensive and patients with marginal perforation were excluded
from this study. Under microscope, margins of perforations were refreshed with the help of ear needle. Filter paper soaked in Argyrols
were placed over perforations. After seven to ten days, filter papers were removed to see the results. Data was analysed on SPSS
RESULTS: Out of 63 cases, 42 (66.6%) cases were dry and 21 (33.3%) cases were associated with active discharge. These 21(33.3%)
cases were treated with oral antibiotic to settle the infection. After myringoplasty, 55 (87.3%) cases were healed, 6 (09.5%) cases
showed residual perforation because of big size of perforation. 2 (03.1%) cases showed no response and that was due to slipping of
filter paper from its place.
CONCLUSION: In Chronic Suppurative Otitis Media, Perforations of tympanic membrane can be tackled in outpatient clinic by
Myringoplasty with the use of filter paper and Argyrols chemical under microscope without any local or general anesthesia.
Dry perforation, filter paper, argyrols, outpatient clinic, microscope