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I型鼓室成形术后听力结果:一项回顾性研究。

Hearing outcome after type I tympanoplasty: a retrospective study.

作者信息

Batni Gaurav, Goyal Rashmi

机构信息

People's College of Medical Sciences and Research Centre, Bhopal, India ; 46 Ansal Pradhan Enclave, E-8 Extension Arera Colony, Bhopal, 462039 India.

People's College of Medical Sciences and Research Centre, Bhopal, India ; D-8 Dwarkadham, Opposite New Jail, Badbai, Bhopal, 462039 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(1):39-42. doi: 10.1007/s12070-014-0749-8. Epub 2014 Jul 29.

Abstract

The purpose of this retrospective study was to evaluate the hearing outcomes using temporalis fascia graft for tympanic membrane reconstruction in type 1 tympanoplasty. It included 100 patients with tubotympanic type of chronic suppurative otitis media requiring only tympanic membrane reconstruction. Patients requiring ossicular reconstruction or with attico antral disease were excluded. Patients were assessed after 3, 6 months and 1 year for graft status and hearing outcome. Hearing evaluation was done using tuning fork tests and pure tone audiometry. In total, 88 out of 100 patients had intact and completely healed grafts at 1 year postoperatively (success rate of 88 %). The Hearing gain achieved was 14.55 dBs and the mean air bone gap reduction was 11.94 dBs. This reduction was statistically significant when compared to the pre operative hearing conditions.

摘要

本回顾性研究的目的是评估在Ⅰ型鼓室成形术中使用颞肌筋膜移植进行鼓膜重建的听力结果。该研究纳入了100例仅需进行鼓膜重建的咽鼓管鼓室型慢性化脓性中耳炎患者。需要进行听骨链重建或患有上鼓室鼓窦疾病的患者被排除在外。在术后3个月、6个月和1年对患者的移植物状态和听力结果进行评估。使用音叉试验和纯音听力测定法进行听力评估。术后1年,100例患者中有88例移植物完整且完全愈合(成功率为88%)。听力增益为14.55dB,平均气骨导差减少11.94dB。与术前听力状况相比,这种减少具有统计学意义。

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