Ⅲ型和Ⅳ型鼓室成形术中使用修剪后的自体颞筋膜对鼻小柱进行稳定的技术——消声器法
Stabilization technique for columella using trimmed autologous temporal fascia in type III and IV tympanoplasty--Muffler method.
作者信息
Kanemaru Shin-Ichi, Ito Juichi, Tsuji Jun, Fujino Kiyohiro, Hiraumi Harukazu, Omori Koichi
机构信息
Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
出版信息
Acta Otolaryngol Suppl. 2007 Feb(557):44-6. doi: 10.1080/03655230601068179.
CONCLUSION
High success rates of recovery of hearing level in type III and IV tympanoplasty could be achieved by this stabilization technique for columella using trimmed autologous temporal fascia.
OBJECTIVE
The aim of this study was to evaluate a new stabilization technique for columella using trimmed autologous temporal fascia in type III and IV tympanoplasty.
PATIENTS AND METHODS
A total of 55 patients (21 male, 34 female, aged 4-85 years) with chronic otitis media (n=16) and cholesteatoma (n=39) underwent tympanoplasty using this new stabilization technique for columella. Thirty-one patients underwent type III tympanoplasty and 24 patients underwent type IV tympanoplasty. Forty-two patients underwent a staged operation and 13 patients underwent a single operation. The observation period was 3.5 years from 6 months after the last operation.
RESULTS
The overall success rates in type III and IV tympanoplasty were 87.1% (27/31) and 83.3% (20/24), respectively. Two of eight patients for whom the procedure was unsuccessful underwent reoperation and they acquired good hearing.
结论
通过这种使用修剪后的自体颞肌筋膜的小柱稳定技术，可在III型和IV型鼓室成形术中实现较高的听力水平恢复成功率。
目的
本研究的目的是评估一种在III型和IV型鼓室成形术中使用修剪后的自体颞肌筋膜的小柱稳定新技术。
患者与方法
共有55例患者（男性21例，女性34例，年龄4至85岁），其中慢性中耳炎患者16例，胆脂瘤患者39例，采用这种新的小柱稳定技术进行鼓室成形术。31例患者接受III型鼓室成形术，24例患者接受IV型鼓室成形术。42例患者接受分期手术，13例患者接受单次手术。观察期为最后一次手术后6个月起的3.5年。
结果
III型和IV型鼓室成形术的总体成功率分别为87.1%（27/31）和83.3%（20/24）。手术未成功的8例患者中有2例接受了再次手术，且听力恢复良好。
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