It is not tough like cartilage and has no spring action thus can easily be used to cover the entire TM perforation
. Keeping in view the above properties of perichondrium, this study was conceptualized to look for the success rate of this graft material in our hospital, because such study has never been conducted in our tertiary care hospital before.
For statistical analysis 120 patients were divided into five groups according to their size of perforation
; Pinpoint (< or= 20%), Small (21-40%), Medium (41-60%), Large (61-80%), Subtotal (>80%) & into four groups according to their site of perforation
; Anterior (A), Posterior (P), Inferior (I), Central (Cn).
(2.) Showed isolated tympanic membrane perforation
and normal middle ear structure in their first otoendoscopic examination;
The former is so classical of PPUD, such that Edward Crisp who was the first to report 50 cases of PPUD and accurately summarized the clinical aspects of perforation
, concluded that: 'The symptoms are so typical, I hardly believe it is possible that anyone can fail to make the correct diagnosis' (12).
Endoscopic endoluminal vacuum therapy in esophageal perforation
. Ann Thorac Surg 2014; 97: 1029-35.
In type 1 perforation
, presentation is usually with acute abdomen however the pathology is often not known until the surgery is undertaken.
A gelatin sponge is the biological material commonly used to treat traumatic TMPs and chronic dry perforations
. Epidermal growth factor (EGF) and fibroblast growth factor are the growth factor frequently used to repair TMPs.
In conclusion, ERCP-induced perforation
is an uncommon complication, but it is associated with a significantly high overall mortality.
Hence, thorough idea regarding its restorability is essential which includes knowledge of site, size, time of perforation
, and choice of materials selected.
of esophagus and subsequent mediastinitis following mussel shell ingestion.
The etiology of the perforation
was recorded as was the size and the location of the perforation
Colonoscopy performed by a gastroenterologist, internist, or surgeon reduces the risk of colorectal cancer death; moreover, the hazard for colon perforation
is the least of all when it is performed by well-trained endoscopist.