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Patients with local or systemic inflammatory findings without direct trauma, and those with perforation of the tympanic membranes had been classified as others . The number of patients visited by 12 months was the very best in forty nine sufferers in 2015, adopted by 2013 , 2014 , and (Fig. 1). The number of patients visited by month was the best in seventy nine patients in August, followed by July , June , May , and September (Fig. 2A).

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