摘要
目的探讨用耳屏软骨-软骨膜行鼓室成形术的疗效。方法对52例(52耳)鼓膜穿孔患者用自体耳屏软骨-软骨膜复合体重建鼓膜,并根据听骨链是否完整及鼓膜是否残存而采取了不同的术式,并于1年后复查纯音听阈,对结果进行分析。结果52耳手术后一个月鼓膜穿孔均愈合。术后随访1～3年,除3耳鼓膜再穿孔外,余均愈合,纯音测听示术后较术前气骨导差平均缩小16dB。结论耳屏软骨-软骨膜复合体是修复鼓膜大穿孔的理想材料,其远期愈合率高,听力恢复满意,效果稳定。
Objective To investigate the efficacy of the application of tragus cartilage- perichondrium in tympanoplasty. Methods The tympanic perforation and ossicular chains reconstruction surgery utilized the tragus cartilage- perichondrium composite autograft in 52 patients with otitis media. Results The tympanic perforation closure was achieved in all 52 patients undergoing cartilage- perichondrium composite reconstruction. Recurrent perforation was found in 3 patieats during the period of 1- 3 year. The average air- bone gaps（ABG） reduced by 16 dB. Conclusion The efficacy results favorably indicate that the tragus cartilage- perichondrium composite is an appropriate material for repairing large tympanic perforation.
出处
《听力学及言语疾病杂志》
CAS
CSCD
2007年第5期377-378,共2页
Journal of Audiology and Speech Pathology
基金
西安市科技计划基金资助项目(编号GG06190)
关键词
软骨-软骨膜
鼓室成形术
修补
Cartilage - perichondrium
Tympanoplasty
Repair
