Usami S, Iijima N, Fujita S, Takumi Y
Department of Otorhinolaryngology, Shinshu University School of Medicine, Matsumoto, Japan.
ORL J Otorhinolaryngol Relat Spec. 2001 Sep-Oct;63(5):287-90. doi: 10.1159/000055759.
An improved myringoplasty technique utilizing fibrin glue and carried out through the external auditory canal was recently introduced. This endoscopic-assisted technique allows exquisite views and avoids blind surgical procedures, thereby expanding the indications for minimally invasive myringoplasty. This technique was applied to patients in whom, due to the curved external auditory canal, the margin of the perforation of the tympanic membrane was not visible with an operating microscope. We summarized the results of 22 endoscopic-assisted myringoplasties and concluded that this technique provides satisfactory results both in the success rate of perforation closure and in hearing outcome.
最近引入了一种利用纤维蛋白胶并通过外耳道进行的改良鼓膜成形术技术。这种内镜辅助技术能提供清晰的视野,避免盲目手术操作,从而扩大了微创鼓膜成形术的适应证。该技术应用于因外耳道弯曲,手术显微镜下无法看到鼓膜穿孔边缘的患者。我们总结了22例内镜辅助鼓膜成形术的结果,得出该技术在穿孔闭合成功率和听力结果方面均能提供令人满意的效果。