Tringali S, Dubreuil C, Bordure P
Service d'oto-neurochirurgie, hospices civils de Lyon, centre hospitalier Lyon Sud, 69495 Pierre-Bénite cedex, France.
Ann Otolaryngol Chir Cervicofac. 2008 Nov;125(5):261-72. doi: 10.1016/j.aorl.2008.01.005. Epub 2008 Sep 7.
To report anatomic and physiologic characteristics of the tympanic membrane, to discuss the etiology and pathogenesis of tympanic perforation, and to discuss its management.
After a review of the literature, different surgical techniques and the postoperative results were evaluated.
The rate of tympanic membrane closure is greater than 90% for the majority of authors. Age, mucosa inflammation, pathological contralateral ear (perforation, otitis media, cholesteatoma), and surgical experience influence this result.
Even if surgical results are good, abstention must always be proposed and all complications must be explained.
Palisade cartilage tympanoplasty is an effective technique for both tympanic membrane closures.
报告鼓膜的解剖和生理特征,讨论鼓膜穿孔的病因和发病机制,并探讨其治疗方法。
在回顾文献后,评估了不同的手术技术及术后结果。
大多数作者报道鼓膜愈合率大于90%。年龄、黏膜炎症、对侧耳病变(穿孔、中耳炎、胆脂瘤)及手术经验会影响这一结果。
即使手术效果良好,也必须始终建议保守治疗,并对所有并发症作出解释。
带蒂软骨鼓膜成形术是一种有效的鼓膜修复技术。