Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Seoul, Korea.
Otolaryngol Head Neck Surg. 2011 Oct;145(4):581-5. doi: 10.1177/0194599811409836. Epub 2011 May 18.
To investigate the effects of the Steri-Strips patch (3M) on the treatment of large traumatic tympanic membrane perforations (TMP).
Prospective, randomized, controlled.
Tertiary university hospital.
A randomized prospective analysis was performed between February 2009 and January 2011 for the treatment of traumatic TMP larger than 50% of the entire tympanic membrane. The results of closure rate, closure time, hearing gain, and rate of otorrhea between conservative observation, paper patching, and Steri-Strips patching groups were compared.
In total, 87 patients were analyzed in this study. The closure rates of the perforations in the Steri-Strips patching, paper patching, and observation groups were 93.3%, 84.2%, and 78.9%, respectively. There was no statistically significant difference in tympanic membrane closure rate between the 3 groups. The Steri-Strips technique decreased the need for repeat procedures. Overall, the Steri-Strips and paper patching groups showed shorter healing times compared with the observation group. However, there was an increased rate of otorrhea in the Steri-Strips group compared with the observation group.
Steri-Strips patching reduced the healing time and need for repeat procedures in patients with large traumatic TMPs. However, the occurrence of otorrhea was significantly more common in patients treated with the Steri-Strips technique.
研究 Steri-Strips 贴剂（3M）治疗外伤性大鼓膜穿孔（TMP）的效果。
前瞻性、随机、对照。
三级大学医院。
2009 年 2 月至 2011 年 1 月期间，对大于整个鼓膜 50%的外伤性 TMP 采用随机前瞻性分析进行治疗。比较保守观察、纸贴和 Steri-Strips 贴剂组的愈合率、愈合时间、听力增益和耳漏率。
本研究共分析了 87 例患者。Steri-Strips 贴剂组、纸贴组和观察组的穿孔闭合率分别为 93.3%、84.2%和 78.9%。3 组鼓膜闭合率无统计学差异。Steri-Strips 技术减少了重复操作的需要。总体而言，Steri-Strips 和纸贴组的愈合时间比观察组短。然而，Steri-Strips 组的耳漏发生率较观察组明显增加。
Steri-Strips 贴剂可缩短外伤性大 TMP 患者的愈合时间和重复操作的需要。然而，Steri-Strips 治疗组耳漏的发生率明显更高。
