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JCR 2016
جستجوی مقالات
پنجشنبه 4 دی 1404
Journal of Research in Medical Sciences
، جلد ۱۸، شماره ۲، صفحات ۹۹-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
The effect of topical estrogen on healing of chronic tympanic membrane perforations and hearing threshold
چکیده انگلیسی مقاله
Normal 0 false false false EN-US X-NONE AR-SA Background: Considering the presence of squamous epithelial cells and fibroblasts in the tympanic membrane (TM), topical estrogen application may influence the repair of TM perforations. Therefore, this study was designed to investigate the healing effect of topical estrogen on chronic TM perforations and improvement in hearing threshold. Materials and Methods: Sixty patients were enrolled in a randomized clinical trial. Thirty patients were treated with paper patch and 30 with estrogen-impinged paper patch. Complete closure of the TM perforation and hearing threshold were evaluated in both groups. Chronic unilateral perforations of the TM involving less than 40% of the total area of the TM without active disease in the middle ear were selected. The margin of the perforation was chemically trimmed using 15% trichloroacetic acid and patching performed under an operating microscope. Microscopic examination was performed after 14 days and repeated after 30 days. Complete closure of the TM perforation was considered as successful repair. Hearing threshold was determined before the start of the trial and 30 days after treatment. Results: No significant difference was found between the two groups after 14 days in complete closure of the perforation ( P = 0.310). After 30 days, patients treated with estrogen-impinged paper patch showed a significantly higher rate of closure of the perforation (63.4%) and improvement in hearing threshold ( P = 0.017). Conclusion: Topical estrogen may have a healing effect on chronic TM perforations and improvement in hearing threshold.
کلیدواژههای انگلیسی مقاله
نویسندگان مقاله
بهروز براتی | behrouz barati
departments of otolaryngology, shahid beheshti university of medical sciences, tehran, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
سید حمید رضا ابطحی | seyyed hamid reza abtahi
department of otorhinolaryngology, isfahan university of medical sciences, isfahan, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)
سید مصطفی هاشمی | seyyed mostafa hashemi
department of otorhinolaryngology, isfahan university of medical sciences, isfahan, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)
سید احمد رضا اخوت | seyyed ahmad reza okhovat
department of otorhinolaryngology, isfahan university of medical sciences, isfahan, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)
مهدی poorqasemian | mehdi poorqasemian
department of otorhinolaryngology, isfahan university of medical sciences, isfahan, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)
علی گلجانیان تبریزی | ali goljanian tabrizi
departments of otolaryngology, shahid beheshti university of medical sciences, tehran, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
نشانی اینترنتی
http://jrms.mui.ac.ir/index.php/jrms/article/view/8954
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زبان مقاله منتشر شده
en
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Original Articles
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