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Can ear irrigation cause rupture of the normal tympanic membrane?: an experimental study in man

Published online by Cambridge University Press:  29 June 2007

Vibeke Z. SØRensen  and
Per Bonding
Vibeke Z. SØRensen
Affiliation:
Department of Otolaryngology, Glostrup Hospital. Copenhagen, Denmark
Per Bonding*
Affiliation:
Department of Otolaryngology, Glostrup Hospital. Copenhagen, Denmark
*
Per Bonding, M.D., Ph.D., Department of Otolaryngology, Glostrup Hospital, Copenhagen, DK-2600 Glostrup. Denmark. Fax: 45 + 43422270
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Abstract

Rupture of the tympanic membrane (TM) during ear irrigation is a rare but unhappy event. In this study the maximum overpressures obtained in the deep part of the external auditory meatus (EAM) during ear irrigation were measured postmortem in 20 cadavers. The highest pressures were obtained in normal- or wide-dimension EAMs when a metal syringe was used. With this device the median maximum overpressure was 240 mmHg (range 200–300 mmHg). Experiments with simulation of an obturating wax plug did not increase the maximum overpressure. Compared with the lowest overpressures which can rupture TMs the pressures measured in this study were insufficient to rupture normal TMs but sufficient to rupture atrophic TMs with the lowest tensile strength. This finding may have medicolegal implications.

Keywords

Ear canalTympanic membraneIrrigationWaterRupture
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 11 , November 1995 , pp. 1036 - 1040
Copyright
Copyright © JLO (1984) Limited 1995

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References

Griffen, W. L. (1979) A retrospective study of traumatic tympanic membrane perforations in a clinical practice. Laryngoscope 89: 261–282.CrossRefGoogle Scholar
Hedegaard-Jensen, J., Bonding, p. (1993) Experimental pressure-induced rupture of the tympanic membrane in man. Acta Otolaryngolica (Stockholm) 113: 62–67.CrossRefGoogle Scholar
Keller, A. P. (1958) A study of the relationship of air pressure to myringorupture. Laryngoscope 68: 2015–2029.CrossRefGoogle ScholarPubMed
Kerr, A. G., Byrne, J. E. T. (1975) Concussive effect of bomb blast on the ear. Journal of Larvngologv and Otology 89: 131–143.CrossRefGoogle Scholar
Richmond, D. R., Fletcher, E. R., Yelverton, J. T., Phillips, L. Y. (1989) Physical correlates of eardrum rupture. Annals of Otology, Rhinology and Laryngology 98: 35–41.CrossRefGoogle Scholar
Ruah, C. B., Schachern, P. A., Zelterman, D., Paparella, M. M., Yoon, T. H. (1991) Age-related morphologic changes in the human tympanic membrane. Archives of Otolaryngology, Head and Neck Surgery 117: 627–634.CrossRefGoogle ScholarPubMed
Strohm, M. (1986) Trauma of the middle ear: clinical findings. postmortem observations, and results of experimental studies. In Advances in Oto-Rhino-Laryngology. Vol. 35. (Pfaltz, C. R., ed.), S. Karger, Basel, pp 25–53.Google Scholar
Zalewski, T. (1906) Experimentelle untersuchungen Uber die resistenzfahigkeit des trommelfells. Zeitschrift fUr Ohrenheilkunde 52: 109–129.Google Scholar