Ahmed S, Raza N, Ullah S, Shabbir A
Department of ENT Head and Neck Surgery, Combined Military Hospital, Rawalpindi, Pakistan.
J Laryngol Otol. 2013 Jun;127(6):562-7. doi: 10.1017/S0022215113000595. Epub 2013 Apr 15.
This study aimed to evaluate the feasibility and efficacy of the recently described chondroperichondrial clip myringoplasty technique, and make comparisons with conventional myringoplasty techniques.
The study comprised a select group of patients with chronic otitis media (mucosal disease only), with central tympanic membrane perforations affecting less than 50 per cent of the pars tensa, and an air-bone gap below 35 dB. A modified custom-made cartilage perichondrial graft was placed using the recently described 'clip' technique.
The graft success rate was 91.3 per cent. Post-operatively, the air-bone gap was within 10 dB in 52 per cent of cases and within 10-20 dB in 48 per cent of cases. There were few minor complications.
Chondroperichondrial clip myringoplasty can be considered as an alternative minimally invasive technique for the repair of select cases of tympanic membrane perforations. This technique, which showed impressive results, was associated with minimum morbidity and reduced operative time.
本研究旨在评估最近描述的软骨膜夹鼓膜成形术技术的可行性和疗效，并与传统鼓膜成形术技术进行比较。
该研究纳入了一组特定的慢性中耳炎患者（仅黏膜疾病），其中心性鼓膜穿孔面积小于紧张部的50%，气骨导差低于35dB。采用最近描述的“夹”技术放置改良的定制软骨膜移植物。
移植物成功率为91.3%。术后，52%的病例气骨导差在10dB以内，48%的病例气骨导差在10 - 20dB之间。轻微并发症较少。
软骨膜夹鼓膜成形术可被视为修复特定鼓膜穿孔病例的一种替代性微创技术。该技术效果显著，发病率最低且手术时间缩短。
