Falbe-Hansen J, Tos M
Ann Otol Rhinol Laryngol. 1975 May-Jun;84(3 Pt 1):315-7. doi: 10.1177/000348947508400305.
In 78 patients, representing 10% of the most severe case of chronic otitis media and in whom the mucosa from the promontory had been removed or severely damaged, the promontory was covered in one-stage mastoidectomy-tympanoplasty with a large piece of thin silastic or of Gelfilm. The results in the silastic group, comprising 50 patients, and in the Gelfilm group, comprising 28 patients, were compared on the basis of various criteria. The results proved better in the Gelfilm group. In particular, the percentage of recurrent perforations was considerably lower than in the silastic group. In one-stage operations, which we prefer, it is therefore recommended to use Gelfilm rather that silastic.
在78例患者中，他们代表了慢性中耳炎最严重病例的10%，且其鼓岬黏膜已被切除或严重受损，在一期乳突根治鼓室成形术中，用一大片薄硅胶或明胶海绵覆盖鼓岬。将50例患者组成的硅胶组和28例患者组成的明胶海绵组的结果，基于各种标准进行比较。结果表明明胶海绵组更好。特别是，复发性穿孔的百分比明显低于硅胶组。因此，在我们更倾向的一期手术中，建议使用明胶海绵而非硅胶。
