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Otologic trauma: the burden of a violent society

Author: 
Jones Ndubuisi Nwosu and Ethel Nkechi Chime
Subject Area: 
Health Sciences
Abstract: 

Background: It was observed that many young adults were presenting with hearing loss secondary to trauma. The rate appeared increasing as the days pass by as seen in a tertiary health facility in the heart of the town. Objectives: To determine the aetiology, presentation, treatment and outcome of patients with ear trauma managed in a tertiary hospital at a central location in the city and suggest ways to reduce the frequency. Methodology: Clinical case review and observation of patients presenting with ear trauma were studied over three years in the urban city. Patients’ clinical records were studied to generate the data required for the study. The data so generated were analyzed using descriptive statistics and results presented in tables and text. Results: Seventy seven patients, males 46(59.74%), females 31(40.26%), ratio 1.5:1 were studied. Their ages ranged from 0.67 to 51years with an average of 24.4059±12.3762 years. Assault 55 (71.42%) was the most popular aetiology with the left ear 49(63.63%) more affected than the right ear 25 (32.47%). Hearing loss 44.16%, noise in the ear 33.77% and bleeding from the ear 32.47% were the most frequent presentations. They were managed conservatively and outcome was uniformly uneventful except for 13(16.88%) cases who defaulted for follow up and whose outcome one cannot categorically talk about. Conclusion: Assault was the leading cause of ear trauma in our locality. This can be checked if the fundamental human rights were respected both at governmental and societal level. It is submitted that this be enforced to stem the tide and save the society from turning deaf.

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