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[两种材料在鼓膜重建中的比较。我们对300例患者的经验]

[Comparison of 2 materials in the reconstruction of the tympanic membrane. Our experience in 300 patients].

作者信息

Livi W, Piane R

机构信息

Institut d'Oto-Rhino-Laryngologie, Université de Sienne, Italie.

出版信息

Rev Laryngol Otol Rhinol (Bord). 1992;113(2):137-9.

PMID:1344523
Abstract

The authors evaluated the results obtained from the tympanic membrane reconstruction in 300 patients affected by simple, purulent or cholesteatomatous chronic middle ear otitis. In this tympanic membrane reconstruction they used: jugular vein strip of a calf and temporal muscle fascia in 150 cases. On pathological basis (simple, purulent and cholestéatomatous otitis) they used the overlay or the underlay method. In 5 years that follows, the materials (vein and fascia), if properly used, would give similar results. For such reasons the authors proposed: temporal muscle fascia autotransplantation with underlay method in partial myringoplasty; heterotransplantation of modelled jugular vein strip with overlay method in subtotal or total myringoplasty.

摘要

作者评估了300例患有单纯性、化脓性或胆脂瘤性慢性中耳中耳炎患者鼓膜重建的结果。在此次鼓膜重建中,他们在150例病例中使用了小牛颈静脉条和颞肌筋膜。根据病理基础(单纯性、化脓性和胆脂瘤性中耳炎),他们采用了覆盖法或衬里法。在接下来的5年里,如果使用得当,这些材料(静脉和筋膜)会产生相似的结果。出于这些原因,作者建议:在部分鼓膜成形术中采用衬里法进行颞肌筋膜自体移植;在次全或全鼓膜成形术中采用覆盖法进行塑形颈静脉条异种移植。

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