Although most tympanic membrane perforations heal spontaneously, persistent
perforations frequently require treatment by otolaryngologists. Initial ma
nagement strategies include keeping the ear dry, ensuring aural hygiene, an
d using topical antibiotics. For persistent perforations. paper patching or
myringoplasty may be required. Recently, agents such as hyaluronic acid an
d epidermal growth factor have been used to promote tympanic membrane heali
ng. Similarly, pentoxifylline, a pharmaceutical agent with hemorrheological
and antithrombotic properties, has been shown to increase perfusion and ac
celerate wound healing. This double-blinded prospective study attempts to e
xamine the effect of pentoxifylline on tympanic membrane healing of 50 guin
ea pigs subjected to myringotomy. Serial examinations and histopathologic s
ectioning of the tympanic membranes revealed no significant difference in r
ate of healing or quality of repair between the pentoxifylline and control
groups.