广州医药2024，Vol.55Issue(3)：284-288,5.DOI:10.3969/j.issn.1000-8535.2024.03.011
耳内镜下超薄耳屏软骨-软骨膜修补鼓膜大穿孔的应用研究
Clinical investigation of endoscopic ultrathin tragus cartilage-perichondrium myringoplasty for treatment of large tympanic membrane perforations
摘要
Abstract
Objective To investigate the clinical efficacy of endoscopic ultrathin tragus cartilage-perichondrium as graft material for treatment of large tympanic membrane perforations.Methods A total of 31 cases(31 ears)which were diagnosed as chronic suppurative otitis with large tympanic membrane perforation were performed endoscopic myringoplasty with ultrathin tragus cartilage-perichondrium by sandwich technique.The pure tone threshold average(PTA)of speech frequency and the air-bone gap were assessed at 6 month safter surgery.Results Successful closure without reperforation was obtained in 30 of 31 patients(96.8%).There was no graft lateralization,anterior blunting.Average postoperative air conduction and bone-air conduction gap were(22.3±1.6)dB HL and(6.3±2.5)dBHL compared with(38.3±3.3)dB HL and(23.5±3.1)dB HL preoperatively(P＜0.001).Conclusions The ultrathin tragus cartilage-perichondrium is liable repair material for large tympanic membrane perforation with excellent graft take and significant improvement of hearing,which is worthy of clinical promotion.关键词
鼓膜穿孔/鼓膜成形术/内镜/软骨-软骨膜Key words
tympanic membrane perforation/myringoplasty/endoscopy/cartilage-perichondrium引用本文复制引用
李鹏,钟玉红,李晓雪,钟庆雯,蔡开贵,汤素琴,苏娟..耳内镜下超薄耳屏软骨-软骨膜修补鼓膜大穿孔的应用研究[J].广州医药,2024,55(3):284-288,5.基金项目
广州花都区科技计划项目(21-HDWS-041) （21-HDWS-041）
