Dvorianchikov V V, Kochergin G A, Syroezhin F A
Vestn Otorinolaringol. 2012(4):51-3.
The objective of the present study was to improve the quality and efficacy of the surgical treatment of chronic otitis media including the plastic correction of total and subtotal tympanic defects by fixing a many-layer chondro-perichondrial autograft with the use of a latex tissue glue. Twenty seven patients presenting with total and subtotal defects of the tympanic membrane underwent surgical intervention in the lateral position. The multilayer transplants composed of a thinned cartilage, fascia, and transposed circular cutaneous graft on the feeding pedicle were fixed using the latex tissue glue. The morphological and functional results of the treatment were estimated one year after surgery. It was shown that the use of the latex tissue glue for the fixation of many-layer autografts during myringoplasty made it possible to decrease the duration of the hospital stay of the patients, reduce to a minimum manifestations of negative subjective feelings, and ensure the reliable clinico-morphological and functional outcome of the treatment.
本研究的目的是提高慢性中耳炎外科治疗的质量和疗效，包括通过使用乳胶组织胶水固定多层软骨-软骨膜自体移植物对全层和次全层鼓膜缺损进行整形修复。27例全层和次全层鼓膜缺损患者在侧卧位接受了手术干预。由变薄的软骨、筋膜和带血供蒂的转位环形皮肤移植物组成的多层移植物使用乳胶组织胶水进行固定。术后一年评估治疗的形态学和功能结果。结果表明，在鼓膜成形术中使用乳胶组织胶水固定多层自体移植物能够缩短患者住院时间，将负面主观感受的表现降至最低，并确保治疗具有可靠的临床形态学和功能结果。
