Traumatic tympanic membrane perforation in a chilean professional female soccer player: a case report
DOI:
https://doi.org/10.59856/arch.soc.chil.med.deporte.v70i1.101Keywords:
Acute acoustic trauma, tympanic membrane perforation, hearing loss, high performance, treatmentAbstract
Introduction: Traumatic tympanic membrane perforation due to ball impact in the periauricular region is a recognized but infrequent entity. It presents clinical features that allow for early suspicion but requires an otoscope for diagnostic confirmation and characterization. Most achieve spontaneous recovery within 4 to 6 weeks, but there are clinical elements and other factors that worsen the prognosis.
Objective: To highlight the relevance of both early and accurate diagnosis, as well as appropriate medical management and follow-up, in the prognosis of athletes who suffer this injury.
Methodology: Case report of a 26-year-old woman with diagnosis of traumatic tympanic membrane perforation due to barotrauma in the left ear confirmed by otoscopy, requiring evaluation by otolaryngology.
Discussion and Conclusion: The results of the presented case show that, despite the good prognosis of the injury, we encounter a symptom that poses risk for vestibular injury, namely vertigo, requiring prompt otolaryngological evaluation to rule out an associated secondary injury, whether of peripheral or central origin. The discussion seeks to clarify the steps for performing individualized diagnosis and management of this condition on the field of play and in subsequent follow-up, considering the sport discipline, competitive level, and the importance of correct adherence to recommendations and joint decision-making between athlete and physician, involving the technical staff. In this way, we can promote adequate tympanic membrane recovery and return to sport.
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Bishnoi T, Marlapudi SK, Sahu PK. Factors influencing the outcome of spontaneous healing of traumatic tympanic membrane perforation: A clinical prospective observational study. Indian J Otolaryngol Head Neck Surg 2023;75:1774-81. https://doi.org/10.1007/s12070-023-03722-4
Harvie M, Roy CF, Gurberg J. Traumatic tympanic membrane perforations. CMAJ 2024;196:E100. https://doi.org/10.1503/cmaj.230868
Sagiv D, Migirov L, Glikson E, Mansour J, Yousovich R, Wolf M, Shapira Y. Traumatic perforation of the tympanic membrane: A review of 80 cases. J Emerg Med 2018;54:186-90. https://doi.org/10.1016/j.jemermed.2017.09.018
Al-juboori A. Evaluation of spontaneous healing of traumatic tympanic membrane perforation. Gen Med 2014;2(1):1-3.
Lou Z-C, Lou Z-H, Zhang Q-P. Traumatic tympanic membrane perforations: a study of etiology and factors affecting outcome. Am J Otolaryngol 2012;33:549-55. https://doi.org/10.1016/j.amjoto.2012.01.010
Lenker C. Traumatic Tympanic Membrane Perforation in a Collegiate Football Player. ATT 2000;5(1):43-44 https://doi.org/10.1123/att.5.1.43
Castelhano L, Correia F, Colaço T, Reis L, Escada P. Tympanic membrane perforations: the importance of etiology, size and location. Eur Arch Otorhinolaryngol 2022;279:4325-33. https://doi.org/10.1007/s00405-021-07186-6
Tachibana T, Kariya S, Orita Y, Makino T, Haruna T, Matsuyama Y, Komatsubara Y, Naoi Y, Nakada M, Noda Y, Sato Y, Nishizaki K. Spontaneous closure of traumatic tympanic membrane perforation following long-term observation. Acta Otolaryngol 2019;139:487-91. https://doi.org/10.1080/00016489.2019.1592225
Raid M.S.AL-Ani. Outcomes for Conservative Management of Traumatic Tympanic Membrane Perforation. Anb Med J 2016;12(1):26-32.
Bevis N, Sackmann B, Effertz T, Lauxmann M, Beutner D. The impact of tympanic membrane perforations on middle ear transfer function. Eur Arch Otorhinolaryngol 2022;279:3399-406. https://doi.org/10.1007/s00405-021-07078-9
NAEMT. Prehospital Trauma Life Support. 10th Edition. United States: Jones & Bartlett; 2023.
Echemendia RJ, Brett BL, Broglio S, Davis GA, Giza CC, Guskiewicz KM, Harmon KG, Herring S, Howell DR, Master CL, Valovich McLeod TC, McCrea M, Naidu D, Patricios J, Putukian M, Walton SR, Schneider KJ, Burma JS, Bruce JM. Introducing the sport concussion assessment tool 6 (SCAT6). Br J Sports Med 2023;57:619-21. https://doi.org/10.1136/bjsports-2023-106849
Fields JD, McKeag DB, Turner JL. Traumatic tympanic membrane rupture in a mixed martial arts competition. Curr Sports Med Rep 2008;7:10-1. https://doi.org/10.1097/01.CSMR.0000308672.53182.3b
Preston K. Pneumatic otoscopy: a review of the literature. Issues Compr Pediatr Nurs 1998;21:117-28. https://doi.org/10.1080/014608698265537
Pannu KK, Chadha S, Kumar D, Preeti. Evaluation of hearing loss in tympanic membrane perforation. Indian J Otolaryngol Head Neck Surg 2011;63:208-13. https://doi.org/10.1007/s12070-011-0129-6
Eagles K, Fralich L, Stevenson JH. Ear trauma. Clin Sports Med 2013;32:303-16. https://doi.org/10.1016/j.csm.2012.12.011
Baum JD, Rattigan MI, Sills ES, Walsh APH. Clinical presentation and conservative management of tympanic membrane perforation during intrapartum valsalva maneuver. Case Rep Med 2010;2010:856045. https://doi.org/10.1155/2010/856045
Singh K, Gude A, Kour A, Guthikonda MR, Mishra AK, Gupta A. A prospective study to elucidate the efficacy of 4 oral prednisolone regimens in acute acoustic trauma. Indian J Otolaryngol Head Neck Surg 2022;74:3692-9. https://doi.org/10.1007/s12070-021-02437-8
Zloczower E, Tsur N, Hershkovich S, Fink N, Marom T. Efficacy of oral steroids for acute acoustic trauma. Audiol Neurootol 2022;27:312-20. https://doi.org/10.1159/000522051
World Anti-Doping Agency. Prohibited List 2025. 2024;1-24. Available from: https://www.wada-ama.org/sites/default/files/2024-09/2025list_en_final_clean_12_september_2024.pdf
World Anti-Doping Agency. Glucocorticoids and Therapeutic Use Exemptions. 2022;1-6. Available from: https://www.wada-ama.org/sites/default/files/resources/files/glucocorticoids_and_therapeutic_use_exemptions_final_20oct21.pdf
Harris AS, Elhassan HA, Flook EP. Why are ototopical aminoglycosides still first-line therapy for chronic suppurative otitis media? A systematic review and discussion of aminoglycosides versus quinolones. J Laryngol Otol 2016;130:2-7. https://doi.org/10.1017/S0022215115002509
Phillips JS, Yung MW, Burton MJ, Swan IRC. Evidence review and ENT-UK consensus report for the use of aminoglycoside-containing ear drops in the presence of an open middle ear: Ear drops in the presence of an open middle ear. Clin Otolaryngol 2007;32:330-6. https://doi.org/10.1111/j.1749-4486.2007.01532.x
Kutbi AH, Malas M, Al-Talhi AA, Noori F, Amoodi HA. The effect of using ofloxacin ear drops in traumatic tympanic membrane healing: A systematic review and meta-analysis. Ear Nose Throat J 2024:1455613241264479. https://doi.org/10.1177/01455613241264479
Lou Z, Lou Z, Tang Y, Xiao J. The effect of ofloxacin otic drops on the regeneration of human traumatic tympanic membrane perforations. Clin Otolaryngol 2016;41:564-70. https://doi.org/10.1111/coa.12564
Tran PT, Antonelli PJ, Winterstein AG. Quinolone ear drops and Achilles tendon rupture. Clin Infect Dis 2023;76:e1360-8. https://doi.org/10.1093/cid/ciac709
Alves C, Mendes D, Marques FB. Fluoroquinolones and the risk of tendon injury: a systematic review and meta-analysis. Eur J Clin Pharmacol 2019;75:1431-43. https://doi.org/10.1007/s00228-019-02713-1
Stephenson AL, Wu W, Cortes D, Rochon PA. Tendon injury and fluoroquinolone use: A systematic review. Drug Saf 2013;36:709-21. https://doi.org/10.1007/s40264-013-0089-8
El Feghaly RE, Nedved A, Katz SE, Frost HM. New insights into the treatment of acute otitis media. Expert Rev Anti Infect Ther 2023;21:523-34. https://doi.org/10.1080/14787210.2023.2206565
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