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[经耳道蝶形软骨鼓室成形术]

[Transcanal butterfly cartilage tympanoplasty].

作者信息

Karakullukçu Bariş, Acioğlu Engin, Pamukçu Muhammet

机构信息

Department of Otolaryngology, Cerrahpaşa Medicine Faculty of Istanbul University, Istanbul, Turkey.

出版信息

Kulak Burun Bogaz Ihtis Derg. 2006;16(4):160-3.

Abstract

OBJECTIVES

This study evaluated the long-term results of transcanal butterfly cartilage tympanoplasty technique in adult patients.

PATIENTS AND METHODS

Transcanal butterfly cartilage tympanoplasty was performed in 11 adult patients (7 males, 4 females; mean age 30 years; range 21 to 45 years) with chronic otitis media. The operations were performed under general or local anesthesia. Perforation diameters ranged from 2 to 6 mm. The mean follow-up period was 9.5 months.

RESULTS

At the end of the follow-up period, perforations closed in 10 patients (90.9%). In one patient, reperforation occurred in the second month. The mean preoperative and postoperative air-bone gaps obtained in 10 patients were 18 dB and 6.5 dB, respectively.

CONCLUSION

Butterfly cartilage tympanoplasty technique was very effective to close central, small tympanic membrane perforations associated with minimal hearing loss.

摘要

目的

本研究评估经耳道蝶形软骨鼓膜成形术在成年患者中的长期效果。

患者与方法

对11例成年慢性中耳炎患者(7例男性,4例女性;平均年龄30岁;年龄范围21至45岁)实施经耳道蝶形软骨鼓膜成形术。手术在全身麻醉或局部麻醉下进行。穿孔直径范围为2至6毫米。平均随访期为9.5个月。

结果

随访期末,10例患者(90.9%)的穿孔闭合。1例患者在第二个月出现再次穿孔。10例患者术前和术后的平均气骨导差分别为18分贝和6.5分贝。

结论

蝶形软骨鼓膜成形术对于闭合与听力损失最小相关的中央性、小鼓膜穿孔非常有效。

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