Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Otolaryngol Head Neck Surg. 2010 Nov;143(5):669-72. doi: 10.1016/j.otohns.2010.07.013.
Conventional bilateral same-day tympanoplasty or myringoplasty has been rarely performed because of the risk of postoperative complications. Inlay butterfly cartilage myringoplasty (IBCM) has been shown effective for same-day closure of bilateral tympanic membrane perforations and is a quicker and more comfortable procedure for the patient. Immediate postoperative hearing is not compromised by packing materials because no external canal packing or middle ear support is required. We assessed the efficacy and safety of bilateral same day IBCM.
Case series with chart review.
Tertiary referral center.
Of the 81 patients (age range, 9-64 years) who underwent conventional tympanoplasty/mastoidectomy for bilateral perforated chronic otitis media between June 2005 and September 2009, 17 with small-to-medium perforations and no history of otorrhea underwent same-day cartilage IBCM on the contralateral ear. Median follow-up duration was 13.0 months.
The graft take rate was 100 percent, with no retraction pockets or displaced grafts observed during follow-up. Mean air-bone gap was improved from 15.8 to 8.4 dB. Twelve patients had an average air-bone gap between 0 and 10 dB, three between 11 and 20 dB, and two between 21 and 30 dB. Two patients had myringitis postoperatively, but it improved with antibiotic treatment.
Bilateral same-day IBCM offers favorable outcomes in selected patients.
由于术后并发症的风险，传统的双侧同日鼓室成形术或鼓膜成形术很少进行。嵌合蝶形软骨鼓膜成形术（IBCM）已被证明对双侧鼓膜穿孔的同日闭合有效，并且对患者来说是更快、更舒适的程序。由于不需要外耳道填塞或中耳支撑，因此填塞材料不会影响术后即刻听力。我们评估了双侧同日 IBCM 的疗效和安全性。
病例系列和图表回顾。
三级转诊中心。
在 2005 年 6 月至 2009 年 9 月期间，对 81 例（年龄范围为 9-64 岁）因双侧慢性中耳炎穿孔而行常规鼓室成形术/乳突切除术的患者进行了研究，其中 17 例患者为小至中型穿孔且无耳漏史，在对侧耳行同日软骨 IBCM。中位随访时间为 13.0 个月。
移植物成活率为 100%，随访期间未观察到回缩袋或移位移植物。平均气骨导差从 15.8dB 改善至 8.4dB。12 例患者的气骨导差平均在 0-10dB 之间，3 例在 11-20dB 之间，2 例在 21-30dB 之间。术后 2 例患者出现鼓膜炎，但经抗生素治疗后好转。
在选择的患者中，双侧同日 IBCM 可获得良好的结果。
