Webb Benjamin D, Chang C Y Joseph
Department of Otolaryngology, University of Texas at Houston, Houston, Texas, USA.
Arch Otolaryngol Head Neck Surg. 2008 Nov;134(11):1155-8. doi: 10.1001/archotol.134.11.1155.
To compare the efficacy of tympanoplasty without mastoidectomy in patients with chronic suppurative otitis media (CSOM) vs efficacy in those with dry tympanic membrane (TM) perforations.
Retrospective controlled study based on a prospective database.
Academic tertiary referral center.
A total of 150 consecutive patients without cholesteatoma with CSOM or dry perforations alone who underwent tympanoplasty without mastoidectomy from January 2000 through December 2005.
Tympanoplasty without mastoidectomy.
Perforation recurrence. Independent variables were age, surgical approach, perforation size, and revision surgery.
The TM graft failure rate was not significantly worse in the CSOM group compared with the dry perforation group (P = .48). The independent variables studied were not statistically related to the success of tympanoplasty except that revision surgery was associated with a slightly reduced success rate (P = .03).
The success rate of tympanoplasty without mastoidectomy is at least as good for patients with CSOM as it is for patients with perforation without prior otorrhea. Age (P = .28), perforation size (P = .11), and surgical approach (P = .82) were not significantly related to success rate. Revision surgery was associated with a slightly lower success rate.
比较慢性化脓性中耳炎（CSOM）患者行不伴乳突切除术的鼓室成形术的疗效与鼓膜干性穿孔患者行该手术的疗效。
基于前瞻性数据库的回顾性对照研究。
学术性三级转诊中心。
2000年1月至2005年12月期间共150例连续的无胆脂瘤的单纯CSOM或干性穿孔患者，均接受了不伴乳突切除术的鼓室成形术。
不伴乳突切除术的鼓室成形术。
穿孔复发情况。自变量包括年龄、手术方式、穿孔大小和翻修手术。
与干性穿孔组相比，CSOM组的鼓膜移植物失败率无显著差异（P = 0.48）。除翻修手术与成功率略有降低相关（P = 0.03）外，所研究的自变量与鼓室成形术的成功无统计学关联。
不伴乳突切除术的鼓室成形术对于CSOM患者的成功率至少与既往无耳漏的穿孔患者一样好。年龄（P = 0.28）、穿孔大小（P = 0.11）和手术方式（P = 0.82）与成功率无显著关联。翻修手术与略低的成功率相关。
