Article Text
Best evidence topic reports
Myringotomy in traumatic haemotympanum
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Report by Angaj Ghosh, Senior Clinical Fellow Checked by Magnus Harrison, Richard Body, Clinical Research Fellows Emergency Department, Manchester Royal Infirmary, Manchester, UK
Abstract
A short-cut review was carried out to establish whether myringotomy is of value in cases of haemotympanum. In all, 205 papers were found in Medline and 105 in Cochrane using the reported searches. None presented any evidence to answer the clinical question. Hence, it is concluded that there is no evidence available to guide this decision and that local expert advice should be followed.
Clinical scenario
A 27-year-old man sustains punches on the face and ear during a drunken brawl. He attends …