中华耳科学杂志2017，Vol.15Issue(4)：403-407,5.DOI:10.3969/j.issn.1672-2922.2017.04.003
耳内镜下中耳手术及鼓室成形术效果分析
Feasibility and Efficacy of Endoscopic Middle Ear Surgery and Tympanoplasty
摘要
Abstract
Objective To investigate the feasibility and efficacy of endoscopic tympanoplasty. Methods This was a retrospective study including 42 patients with chronic suppurative otitis, attic cholesteatoma or tympanosclerosis who received endoscopic tympanoplasty. Graft success rate and audiometric improvement after surgery were assessed. Re-sults The overall graft take rate was 95.2%(40/42). Perforation in two cases were completely healed after additional en-doscopic treatment in the outpatient office. Mean air-bone gap before surgery was 52.32 ± 14.70 dB and improved to 30.59±12.16 dB after surgery (P<0.001). Partial flap necrosis was seen in 3 cases and recovered after appropriate treat-ment. There were no complications such as severe sensoneural hearing loss, facial paralysis or vertigo. Conclusions Our study demonstrates that endoscopic tympanoplasty can be effectively applied in middle ear surgery, including for cases of attic cholesteatoma. A better view of the middle ear can be acquired during endoscopic surgery compared to micro-scopic surgery, facilitating preservation of non-diseased structures. In addition, endoscopic surgery requires smaller inci-sions and less medical expenditures and provides better hearing improvement. Although endoscopic middle surgery car-ries promises in the future, disadvantages such as single-hand operation need to be overcome.关键词
耳内镜/鼓室成形术/可行性/术后效果Key words
Endoscopic/Tympanoplasty/Feasibility/Postoperative Effects分类
医药卫生引用本文复制引用
杨海弟,高敏倩,熊浩,梁茂金,郑亿庆..耳内镜下中耳手术及鼓室成形术效果分析[J].中华耳科学杂志,2017,15(4):403-407,5.基金项目
广东省科技计划项目(2013B02200051) （2013B02200051）
广州市协同创新项目(民生专项)(2014Y2-00511)Science and Technology Planning Project of Guangdong Province(2013B02200051) （民生专项）
Guangzhou science and technology pro-gram livelihood projects(2014Y2-00511) （2014Y2-00511）
