Sapçi Tarik, Almaç Senem, Usta Canan, Karavuş Ahmet, Mercangöz Ersin, Evcimik M Fatih
Department of Otolaryngology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2006;16(6):255-60.
We compared the extent of healing and hearing improvement following tympanoplasties performed with the use of cartilage-perichondrium composite grafts and temporalis muscle fascia grafts.
Fifty consecutive patients (22 males, 28 females; mean age 30+/-14 years; range 11 to 63 years) with chronic otitis media were divided into two groups to receive cartilage-perichondrium composite grafts or temporal muscle fascial grafts. All the patients were evaluated by pure-tone audiometry and otomicroscopic examination in the 1st, 3rd, 6th, and 12th months.
At the end of the first year, graft survival was 92% in the cartilage group, and 85% in the fascia group. Hearing levels improved at the end of the first year; however, the two groups did not differ significantly in terms of hearing improvement and graft survival. Hearing gains were greater in central and subtotal perforations. In comparison with a steady increase in the cartilage group, hearing levels remained unchanged after the sixth month in the fascia group.
Cartilage-perichondrium composite grafts may be easily and safely used in type I tympanoplasties, with successful results including hearing improvement.
我们比较了使用软骨-软骨膜复合移植物和颞肌筋膜移植物进行鼓室成形术后的愈合程度和听力改善情况。
50例连续性慢性中耳炎患者（男22例，女28例；平均年龄30±14岁；范围11至63岁）被分为两组，分别接受软骨-软骨膜复合移植物或颞肌筋膜移植物。所有患者在第1、3、6和12个月时接受纯音听力测定和耳显微镜检查评估。
在第一年末，软骨组移植物存活率为92%，筋膜组为85%。第一年末听力水平有所改善；然而，两组在听力改善和移植物存活方面无显著差异。中央性和次全穿孔的听力增益更大。与软骨组听力稳步提高相比，筋膜组在第六个月后听力水平保持不变。
软骨-软骨膜复合移植物可轻松、安全地用于I型鼓室成形术，取得包括听力改善在内的成功效果。
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