Tympanic membrane perforations: a critical analysis of 1003 ears and proposal of a new classification based on pathogenesis.
Fábio André SelaimenLeticia Petersen Schmidt RositoMauricio Noschang Lopes da SilvaValentina de Souza StanhamNeil SperlingSady Selaimen da CostaPublished in: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery (2021)
The classification of TMP into two groups based on signs of previous retractions is feasible and indicates two different levels of disease severity. While the group without previous signs of retraction comprises ears with more limited disease, membranes with previous retraction seem to show more severe disease and, consequently, a less functional middle ear.
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