Velepic Marko, Starcevic Radan, Ticac Robert, Kujundzic Milodar, Velepic Mitja
Clinic of Otorhinolaryngology, Head and Neck Surgery, Clinical Hospital Center Rijeka, Krešimirova 42, HR-51 000 Rijeka, Croatia.
Int J Pediatr Otorhinolaryngol. 2012 May;76(5):663-6. doi: 10.1016/j.ijporl.2012.01.036. Epub 2012 Feb 25.
To show long-term anatomic and functional results of full thickness cartilage palisade tympanoplasty in children and adults.
In 51 patients (56 ears); 9 children (12 ears) and 42 adults (44 ears) full thickness cartilage palisade tympanoplasty and interposition with malleus head autograft was performed. On average 11 years after the tympanoplasty, an otomicroscopy and a tonal audiogram were done to assess anatomic and functional results.
Anatomic results of 56 ears: 40 (71.43%) tympanic membranes have no anatomic irregularities; 14 (25.00%) have cartilage resorption (11 of them minor and 3 major resorptions), 2 (3.57%) have secondary perforation. In the group of children all ears tympanic membrane were with no or minor resorption and no perforations. Functional results (51 audiograms performed: in children 12 and in adults 39): pre- and post-operative average pure tone average air-bone gaps were 27.29 ± 10.26 and 10.73 ± 7.90 dB, respectively. In the group of children pre- and post-operative average pure tone average air-bone gaps were 29.44 ± 10.30 and 6.81 ± 3.47 dB, respectively. In the group of adults pre- and post-operative pure tone average air-bone gaps were 26.63 ± 10.30 and 11.93 ± 8.50 dB, respectively. The differences between the two groups preoperatively (z=0.733; p=0.463) and postoperatively are irrelevant (z=1.723; p=0.085). The hearing gain is bigger in children (F=4.788; p=0.033).
The full thickness cartilage palisade tympanoplasty with malleus autograft interposition is also nowadays a successful method in solving of an advanced ear pathology also in children.
展示儿童和成人全层软骨栅栏式鼓室成形术的长期解剖和功能结果。
对51例患者（56耳）进行了手术，其中9例儿童（12耳）和42例成人（44耳）接受了全层软骨栅栏式鼓室成形术并植入锤骨头自体移植物。鼓室成形术后平均11年，进行耳显微镜检查和纯音听力图检查以评估解剖和功能结果。
56耳的解剖结果：40耳（71.43%）鼓膜无解剖异常；14耳（25.00%）有软骨吸收（其中11耳为轻度吸收，3耳为重度吸收），2耳（3.57%）有继发性穿孔。儿童组所有鼓膜均无或仅有轻度吸收且无穿孔。功能结果（共进行51次听力图检查：儿童12次，成人39次）：术前和术后平均纯音气骨导差分别为27.29±10.26dB和10.73±7.90dB。儿童组术前和术后平均纯音气骨导差分别为29.44±10.30dB和6.81±3.47dB。成人组术前和术后平均纯音气骨导差分别为26.63±10.30dB和11.93±8.50dB。两组术前差异无统计学意义（z=0.733；p=0.463），术后差异也无统计学意义（z=1.
