Nasal septal perforation
in systemic lupus erythematosus.
Its advantages are that it can be harvested through same post aural or endaural incision of tympanoplasty, available in sufficient amount, its basal metabolic rate and thickness have great resemblance with TM.5 However the drawbacks of fascia graft are high failure rate in atelectatic drum, retraction pocket, subtotal or total perforation
and malfunctioning eustachian tube.
with preexisting or congenital hearing loss, patients with sensory-neural hearing loss, patients with traumatic perforation
and residual perforation
in acute otitis media and patients with squamosal disease were excluded from our study.
The site and the size of the perforation
, whether or not it contacts the manubrium mallei, as well as the volume of the middle ear and of the mastoid are some of the factors that affect the level of the hearing loss (2).
All of the patients underwent emergency exploratory laparotomy through a midline incision, with primary repair of the perforation
and addition of omental patch in cases of duodenal perforation
Upper gastrointestinal endoscopy was performed with a suspicion of iatrogenic esophageal perforation
. Approximately 17 cm from the incisive teeth, a perforation
site with a diameter of 1.5 cm was observed (Figure 1b).
Rarely gall bladder disease may present as perforation
. Niemeier classified perforation
into three sub types.1 The authors would like to report a case of a 65 year old male patient who presented with spontaneous acute perforation
of the gallbladder as the initial presentation of gall bladder disease.
Zheng reported that the spontaneous healing rate increases with time, but lowers with the rise in the perforation
Computer tomography (CT) scan abdomen revealed retroperitoneal air and fluid collection which is the typical imaging features of Stapfer's Type II perforation
have been classified by Fuss and Trope as coronal, crestal, and apical perforation
: Coronal perforation--coronal to the level of crestal bone and epithelial attachment with minimal damage to the supporting tissues and easy access, crestal perforation--at the level of the epithelial attachment into the crestal bone, and apical perforation--apical to the crestal bone and the epithelial attachment.
Esophagram was negative for perforation
and Ancef was initiated.
The aim of myringoplasty or tympanoplasty type I is to close a perforation
in the tympanic membrane.
It has been associated with various complications, and perforation
is the most common complication (1).
However, iatrogenic colonic perforation
during diagnostic colonoscopy is a potentially life-threatening and devastating adverse event that requires emergency management and can cause considerable unexpected hospitalizations and even death in healthy people .
Based on the historical, clinical, and laboratory data obtained, we considered intestinal perforation
due to typhoid fever as the probable aetiology of peritonitis, and the aetiological differentials included perforated peptic ulcer and perforated appendix.