耳内镜辅助鼓膜成形术。
Endoscope-assisted myringoplasty.
机构信息
Department of Otorhinolaryngology, Pt Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences, Haryana, Rohtak 124001, India.
出版信息
Singapore Med J. 2009 May;50(5):510-2.
INTRODUCTION
To date, myringoplasty conducted under the operating microscope has been found to have its limitations. With the introduction of the endoscope into other branches of surgery, there have been attempts at its utilisation in otology.
METHODS
Endoscope-assisted myringoplasty was carried out in 50 patients aged 18-45 years using the temporalis fascia graft. The middle ear was examined through perforation in order to exclude cholesteatoma.
RESULTS
The overall success rate of the graft uptake and improvement in conductive deafness as air-bone gap closure was achieved in 80 percent of cases.
CONCLUSION
Endoscopic myringoplasty was found to be equally effective, less morbid and very cost-effective in small central perforations. However, it is not applicable in all cases, especially in those with large perforations.
简介
迄今为止，手术显微镜下进行的鼓室成形术已被发现存在其局限性。随着内窥镜在其他外科领域的引入，人们已经尝试在耳科学中使用它。
方法
使用颞肌筋膜移植物对 50 名年龄在 18-45 岁之间的患者进行了内窥镜辅助鼓室成形术。通过穿孔检查中耳，以排除胆脂瘤。
结果
在 80%的病例中，移植物吸收和改善传导性耳聋（即气骨导差闭合）的总体成功率达到了。
结论
内窥镜鼓室成形术在小的中央穿孔中被发现同样有效、创伤更小、非常经济有效。然而，它并不适用于所有情况，尤其是那些有大穿孔的情况。
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