Toros Sema Zer, Habesoglu Tulay Erden, Habesoglu Mehmet, Bolukbasi Seyla, Naiboglu Baris, Karaca Cigdem Tepe, Egeli Erol
Department of Otorhinolaryngology/Head and Neck Surgery, Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey.
Acta Otolaryngol. 2010 Aug;130(8):909-12. doi: 10.3109/00016480903559731.
We could not find any significant difference in the results for graft success rate and functional hearing results between the myringoplasty and tympano-mastoidectomy groups. So mastoidectomy may not be necessary for successful tympanic membrane reconstruction and hearing improvement.
To investigate the effect of aerating mastoidectomy on the surgical success rate of myringoplasty.
This was a retrospective study. Data were analyzed from 92 patients who underwent surgical repair of tympanic membrane perforations due to chronic suppurative otitis media (CSOM) without cholesteatoma. Tympano-mastoidectomy was performed in 46 patients with a small sclerotic mastoid. The other 46 patients underwent myringoplasty without mastoidectomy. Patients were evaluated for success in tympanic membrane reconstruction and hearing levels after a minimum follow-up duration of 1 year.
Tympanic membrane perforation closure was successful in 76.1% (n = 35) of the 46 patients undergoing myringoplasty and in 78.3% (n = 36) of the 46 patients undergoing myringoplasty with mastoidectomy. The difference between the closure rates of the two groups was not statistically significant (p > 0.05). The difference between the two groups for hearing gain was also not statistically significant (p > 0.05).
我们发现鼓膜成形术组和鼓室乳突切除术组在移植物成功率和功能性听力结果方面没有显著差异。因此，对于成功的鼓膜重建和听力改善，乳突切除术可能并非必要。
探讨鼓室乳突通气术对鼓膜成形术手术成功率的影响。
这是一项回顾性研究。分析了92例因慢性化脓性中耳炎（CSOM）且无胆脂瘤而接受鼓膜穿孔手术修复患者的数据。46例小硬化型乳突患者接受了鼓室乳突切除术。另外46例患者未行乳突切除术，仅接受了鼓膜成形术。在至少1年的随访期后，对患者的鼓膜重建成功率和听力水平进行评估。
46例接受鼓膜成形术的患者中，76.1%（n = 35）鼓膜穿孔闭合成功；46例接受鼓膜成形术联合乳突切除术的患者中，78.3%（n = 36）鼓膜穿孔闭合成功。两组闭合率之间的差异无统计学意义（p > 0.05）。两组听力增益之间的差异也无统计学意义（p > 0.05）。
