Tympanic membrane perforation impact on severity of injury and resource use in victims of explosion.
Itamar AshkenaziO OlshaF Turegano-FuéntesR AlficiPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2015)
Patients with TMP were more severely injured and more often needed surgery, ICU hospitalization and need for transfer to a level I trauma center. The observation that all those who died in hospital and most of those who were unstable were not examined by the ENT services suggests that impact of TMP as an indicator of severity may be underestimated.