Gérard J M, Thill M P, Gersdorff M
Service d'oto-rhino-laryngologie, Cliniques Universitaires Saint-Luc, avenue Hippocrate 10, 1200 Bruxelles, Belgique.
Ann Otolaryngol Chir Cervicofac. 2003 Apr;120(2):83-93.
The development of tympanic membrane surgery is based on 150 years of surgical experiences, medical and technological innovations. There are two major techniques of tympanic membrane reconstruction depending on the graft related to the different anatomic layers of the eardrum.
We evaluate different risk factors of the tympanoplasty such as the age of the patient, the tubal function, the middle ear inflammation, the status of the contra-lateral ear, the localization and the size of the perforation, the surgical techniques and the type of the graft.
We illustrate and comment on those risk factors considering 122 simple tympanoplasties and a large overview of the literature.
We show that the graft position doesn't interfere with the surgical results and we specify our attitude to control the risk factors.
To obtain excellent results, surgical indications have to be extremely rigorous as with surgical techniques.
鼓膜手术的发展基于150年的手术经验、医学和技术创新。根据与鼓膜不同解剖层相关的移植物，有两种主要的鼓膜重建技术。
我们评估鼓室成形术的不同风险因素，如患者年龄、咽鼓管功能、中耳炎症、对侧耳状况、穿孔的位置和大小、手术技术以及移植物类型。
我们结合122例单纯鼓室成形术及大量文献综述来说明和评论这些风险因素。
我们表明移植物位置不影响手术结果，并明确了我们控制风险因素的态度。
为获得优异的手术效果，手术适应证必须像手术技术一样极其严格。
