Department of Otorhinolaryngology and Head and Neck Surgery, Abant İzzet Baysal University Medical Faculty, Bolu, Turkey.
Otorhinolaryngology Clinic, Kapadokya Private Hospital, Nevşehir, Turkey.
Braz J Otorhinolaryngol. 2014 Nov-Dec;80(6):522-6. doi: 10.1016/j.bjorl.2014.08.007. Epub 2014 Aug 28.
Cartilage graft tympanoplasty has a better success rate in the treatment of chronic otitis media if regularly prepared and placed.
To prepare cartilage island material and evaluate its effect on the success rate of tympanoplasty.
The medical records of 87 patients (48 males and 39 females; mean age, 27.3±11.2 years; range, 14-43 years) with chronic otitis media without cholesteatoma who underwent intact canal-wall-up tympanoplasty and revision surgery between December of 2007 and October of 2011 were retrospectively evaluated. Surgery was performed under general anesthesia via a retroauricular approach.
The overall success rate of this technique was 93% in terms of perforation closure. No graft lateralization or displacement into the middle ear occurred. The overall average preoperative air bone gap was 37.27±12.35 dB, and the postoperative air bone gap was 27.58±9.84 dB. The mean postoperative follow-up period was 15.3 months (range: 7-21 months).
If cartilage graft is properly prepared and placed, cartilage graft tympanoplasty appears to provide better success rates and hearing results.
如果软骨移植物得到了规范的制备和安置，那么在慢性中耳炎的治疗中，它在鼓室成形术中的成功率更高。
制备软骨岛状移植物，并评估其对鼓室成形术成功率的影响。
回顾性分析了 2007 年 12 月至 2011 年 10 月间，87 例（男 48 例，女 39 例；平均年龄 27.3±11.2 岁；年龄范围 14-43 岁）慢性中耳炎患者的病历资料，这些患者均无胆脂瘤，接受了完壁式鼓室成形术和翻修手术。手术在全身麻醉下通过耳后入路进行。
根据鼓膜穿孔闭合情况，该技术的总体成功率为 93%。没有出现移植物移位或外侧化至中耳的情况。术前平均气骨导差为 37.27±12.35dB，术后气骨导差为 27.58±9.84dB。平均术后随访时间为 15.3 个月（7-21 个月）。
如果软骨移植物得到了适当的制备和安置，那么软骨移植物鼓室成形术似乎可以提供更高的成功率和更好的听力效果。
