中国耳鼻咽喉头颈外科2026，Vol.33Issue(4)：186-189,4.DOI:10.16066/j.1672-7002.2026.04.002
耳内镜下岛状耳屏软骨-软骨膜在Ⅱ型鼓室成形术中的应用及疗效分析
Application and efficacy analysis of island shaped tragal cartilage perichondrium under otoendoscopy in type Ⅱ tympanoplasty
马涛 1施云斌 1郝文娟 1胡益 1张建1
作者信息
- 1. 宁波市医疗中心李惠利医院耳鼻咽喉头颈外科二,浙江 宁波 315100
- 折叠
摘要
Abstract
OBJECTIVE To explore the application and clinical efficacy of island tragus cartilage-perichondrium under otoscope in type Ⅱ tympanoplasty.METHODS A retrospective analysis was performed on 93 patients(95 ears)with chronic suppurative otitis media treated at Ningbo Medical Center Lihuili Hospital.All patients underwent type Ⅱtympanoplasty using the island tragus cartilage-perichondrium complex interlay method under endoscopy.Postoperative complications,tympanic membrane healing rate,and hearing status at 3 months after surgery were observed.RESULTS Of the 95 ears,92 cases(96.8%)achieved postoperative healing.Air conduction hearing was significantly improved in 90 cases(94.7%)compared with preoperative levels.There were no statistically significant differences in bone conduction between pre and post operation,nor in postoperative air bone gap among patients with different ossicle lengths(P>0.05).Postoperative air conduction hearing and air bone gap were significantly improved compared with preoperative values,with statistically significant differences(P<0.01).No postoperative complications occurred.CONCLUSION Type Ⅱ tympanoplasty using the island tragus cartilage-perichondrium complex interlay method under otologic endoscopy can achieve a high tympanic membrane healing rate and significantly improve hearing in patients.关键词
中耳炎,化脓性/耳内镜/岛状耳屏软骨-软骨膜复合体Key words
Otitis Media,Suppurative/otoendoscope/island tragus cartilage-perichondrium complex引用本文复制引用
马涛,施云斌,郝文娟,胡益,张建..耳内镜下岛状耳屏软骨-软骨膜在Ⅱ型鼓室成形术中的应用及疗效分析[J].中国耳鼻咽喉头颈外科,2026,33(4):186-189,4.
