儿童鼓室成形术：35 例回顾性分析。
Myringoplasty in children: retrospective analysis of 35 cases.
机构信息
Department of Otolaryngology, King Hussein Medical Center, Amman, Jordan.
出版信息
Braz J Otorhinolaryngol. 2009 May-Jun;75(3):371-4. doi: 10.1016/s1808-8694(15)30654-6.
AIMS
to carry out a retrospective analysis of myringoplasty results in children in our institute.
MATERIALS AND METHODS
Thirty five children, 9 to 14 years old, who underwent myringoplasty in our hospital between April 2002 and May 2004, formed the study group. Data regarding successful perforation closure, factors influencing success rates and hearing improvement were recorded.
RESULTS
Closure of perforation was successful in 30 (85.7%) of the 35 patients. Graft take failure occurred in 5 patients. Audiological improvement was seen in 27 (77%) patients, out of which 23 cases had 10-15 db and 4 cases had 15-20 db air-bone gap. Hearing was found to be worse postoperatively in 3 patients, while no change was noted in the remaining 5 patients. There was no case of profound hearing loss.
CONCLUSION
Myringoplasty is a beneficial procedure in the pediatric population in the hands of a skilled and experienced surgeons. If performed properly, it has a good chance of restoring a child's hearing. However, a large study with a long follow up is warranted in order to come to a definitive conclusion.
目的
对我院收治的儿童鼓室成形术的结果进行回顾性分析。
材料与方法
2002 年 4 月至 2004 年 5 月期间，我院对 35 名 9-14 岁的儿童患者施行鼓室成形术，这些患者组成了本研究组。记录了成功鼓膜穿孔闭合、影响成功率的因素以及听力改善的数据。
结果
35 例患者中有 30 例（85.7%）成功闭合穿孔。5 例患者出现移植物失败。27 例（77%）患者的听力得到改善，其中 23 例听力改善 10-15dB，4 例听力改善 15-20dB。3 例患者术后听力变差，其余 5 例患者听力无变化。无患者出现深度听力损失。
结论
对于经验丰富的手术医生来说，鼓室成形术是一种有益于儿童的手术。如果操作得当，它有很大的机会恢复儿童的听力。然而，需要进行一项大型的、长期随访的研究，以得出明确的结论。
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