PREDICTIVE VALUE OF TYMPANIC MEMBRANE INJURY IN DETERMINING MORTALITY/MORBIDITY ASSOCIATED WITH TERRORIST BOMB BLASTS

Objective: To analyze the predictive value of drumhead perforation to overall visceral damage by the blast waves. Study Design: Retrospective observational study. Place and Duration of Study: It was a multi-centric study extending from Jul 2005 to Jun 2009. Blast victims in Wana (Pak Afghan bo...

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Autores principales: Sayed Nusrat Raza, Shakeel Ahmed, ZM Raahat, Irfan Zafar Haider, Muhammad Ali, Sheikh Saadat Ullah Waleem
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Publicado: Army Medical College Rawalpindi 2020
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spelling oai:doaj.org-article:e841f0fd37e24c86aae1a6ec1395add42021-12-02T17:41:59ZPREDICTIVE VALUE OF TYMPANIC MEMBRANE INJURY IN DETERMINING MORTALITY/MORBIDITY ASSOCIATED WITH TERRORIST BOMB BLASTS0030-96482411-8842https://doaj.org/article/e841f0fd37e24c86aae1a6ec1395add42020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5537https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To analyze the predictive value of drumhead perforation to overall visceral damage by the blast waves. Study Design: Retrospective observational study. Place and Duration of Study: It was a multi-centric study extending from Jul 2005 to Jun 2009. Blast victims in Wana (Pak Afghan border area, a hot center of war against terrorism in Pakistan), Lahore (provincial capital of Punjab, Pakistan) and Quetta (provincial capital of Baluchistan, Pakistan) were included in the study. Methodology: A total of 354 patients were included in the study. A preliminary examination by surgeon and ENT specialist was carried out to evaluate patient’s general condition and state of tympanic membranes. Sonographic examination, computerized tomography (CT) scan and other relevant investigations were subsequently carried out to further ascertain the patient’s condition and visceral damage. The data were then analyzed to correlate visceral damage as a result of blast injury to the laterality and size of tympanic membrane perforation. Results: The extent of visceral damage was less in cases with intact drumheads, more in cases with unilateral perforation and maximum in cases with bilateral subtotal perforation. Conclusion: The size and laterality of drumhead perforation as a result of blast injury is a rough predictor of visceral damage sustained as a result of blast injury.Sayed Nusrat RazaShakeel AhmedZM RaahatIrfan Zafar HaiderMuhammad AliSheikh Saadat Ullah WaleemArmy Medical College Rawalpindiarticleterrorist bomb blaststraumatic drumhead perforationvisceral damageMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1228-1232 (2020)
institution DOAJ
collection DOAJ
language EN
topic terrorist bomb blasts
traumatic drumhead perforation
visceral damage
Medicine
R
Medicine (General)
R5-920
spellingShingle terrorist bomb blasts
traumatic drumhead perforation
visceral damage
Medicine
R
Medicine (General)
R5-920
Sayed Nusrat Raza
Shakeel Ahmed
ZM Raahat
Irfan Zafar Haider
Muhammad Ali
Sheikh Saadat Ullah Waleem
PREDICTIVE VALUE OF TYMPANIC MEMBRANE INJURY IN DETERMINING MORTALITY/MORBIDITY ASSOCIATED WITH TERRORIST BOMB BLASTS
description Objective: To analyze the predictive value of drumhead perforation to overall visceral damage by the blast waves. Study Design: Retrospective observational study. Place and Duration of Study: It was a multi-centric study extending from Jul 2005 to Jun 2009. Blast victims in Wana (Pak Afghan border area, a hot center of war against terrorism in Pakistan), Lahore (provincial capital of Punjab, Pakistan) and Quetta (provincial capital of Baluchistan, Pakistan) were included in the study. Methodology: A total of 354 patients were included in the study. A preliminary examination by surgeon and ENT specialist was carried out to evaluate patient’s general condition and state of tympanic membranes. Sonographic examination, computerized tomography (CT) scan and other relevant investigations were subsequently carried out to further ascertain the patient’s condition and visceral damage. The data were then analyzed to correlate visceral damage as a result of blast injury to the laterality and size of tympanic membrane perforation. Results: The extent of visceral damage was less in cases with intact drumheads, more in cases with unilateral perforation and maximum in cases with bilateral subtotal perforation. Conclusion: The size and laterality of drumhead perforation as a result of blast injury is a rough predictor of visceral damage sustained as a result of blast injury.
format article
author Sayed Nusrat Raza
Shakeel Ahmed
ZM Raahat
Irfan Zafar Haider
Muhammad Ali
Sheikh Saadat Ullah Waleem
author_facet Sayed Nusrat Raza
Shakeel Ahmed
ZM Raahat
Irfan Zafar Haider
Muhammad Ali
Sheikh Saadat Ullah Waleem
author_sort Sayed Nusrat Raza
title PREDICTIVE VALUE OF TYMPANIC MEMBRANE INJURY IN DETERMINING MORTALITY/MORBIDITY ASSOCIATED WITH TERRORIST BOMB BLASTS
title_short PREDICTIVE VALUE OF TYMPANIC MEMBRANE INJURY IN DETERMINING MORTALITY/MORBIDITY ASSOCIATED WITH TERRORIST BOMB BLASTS
title_full PREDICTIVE VALUE OF TYMPANIC MEMBRANE INJURY IN DETERMINING MORTALITY/MORBIDITY ASSOCIATED WITH TERRORIST BOMB BLASTS
title_fullStr PREDICTIVE VALUE OF TYMPANIC MEMBRANE INJURY IN DETERMINING MORTALITY/MORBIDITY ASSOCIATED WITH TERRORIST BOMB BLASTS
title_full_unstemmed PREDICTIVE VALUE OF TYMPANIC MEMBRANE INJURY IN DETERMINING MORTALITY/MORBIDITY ASSOCIATED WITH TERRORIST BOMB BLASTS
title_sort predictive value of tympanic membrane injury in determining mortality/morbidity associated with terrorist bomb blasts
publisher Army Medical College Rawalpindi
publishDate 2020
url https://doaj.org/article/e841f0fd37e24c86aae1a6ec1395add4
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