Seidman Michael D
Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health System, Bloomfield, MI 48322, USA.
Otolaryngol Head Neck Surg. 2008 Feb;138(2):242-5. doi: 10.1016/j.otohns.2007.11.001.
To report a novel, minimally invasive technique for anterior tympanic membrane (TM) perforation repair.
A transcanal repair of the anterior TM was performed on 45 patients.
A total of 689 patients with chronic suppurative otitis media underwent surgical intervention; of these, 45 patients with isolated anterior TM perforations underwent an anterior tympanoplasty. This approach is similar to a transcanal approach for small posterior perforations; an anterior rather than a posterior flap is raised.
Perforations ranged from 20 to 50 percent in size. Preoperative air-bone gaps ranged from 5 to 51 dB and averaged 25 dB. Postoperative air-bone gaps ranged from 0 to 33 dB and averaged 14 dB. Of 45 patients, 40 (88%) had closure of their perforations. Data from 1- to 10-year follow-up are provided.
The anterior transcanal tympanoplasty is a minimally invasive technique to repair anterior TM perforations. The procedure is simple and obviates the need for a large postauricular incision.
报告一种用于鼓膜前穿孔修复的新型微创技术。
对45例患者进行经耳道鼓膜前修复术。
共有689例慢性化脓性中耳炎患者接受手术干预；其中，45例孤立性鼓膜前穿孔患者接受了鼓膜前成形术。该方法类似于用于小的鼓膜后穿孔的经耳道方法；掀起的是前瓣而非后瓣。
穿孔大小在20%至50%之间。术前气骨导差在5至51分贝之间，平均为25分贝。术后气骨导差在0至33分贝之间，平均为14分贝。45例患者中，40例（88%）穿孔闭合。提供了1至10年随访数据。
经耳道鼓膜前成形术是一种修复鼓膜前穿孔的微创技术。该手术操作简单，无需做大的耳后切口。
Zotero 插件