经耳道内镜鼓膜成形术：大学中心的病例系列
Transcanal endoscopic myringoplasty: a case series in a university center.
作者信息
Garcia Leandro de Borborema, Moussalem Guilherme Figner, Andrade José Santos Cruz de, Mangussi-Gomes João, Cruz Oswaldo Laércio Mendonça, Penido Norma de Oliveira, Testa José Ricardo Gurgel
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Department of Otorhinolaryngology and Head and Neck Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2016 May-Jun;82(3):321-5. doi: 10.1016/j.bjorl.2015.05.012. Epub 2015 Nov 6.
INTRODUCTION
Transcanal myringoplasty has the advantages of demanding lower operative time and minimal external incisions. It can be performed using the microscopic or endoscopic approach. In the last decade, the use of endoscopes in ear surgery has increased significantly. This technique may allow "around the corner" visualization of small recesses, through narrow spaces, without the aid of canalplasty in unfavorable ear canals.
OBJECTIVE
To describe a case series of transcanal endoscopic myringoplasty performed in a university service. The characteristics, advantages, and disadvantages of this technique are also discussed.
METHODS
A case series study, based on the chart review of patients submitted to transcanal endoscopic myringoplasty in the period from January of 2012 to October of 2014.
RESULTS
Data from 22 patients were analyzed. Tympanic perforation closure three months after surgery was observed in 86.4% of all patients. There was statistically significant improvement in pure tone average thresholds after surgery (p<0.001).
CONCLUSION
Transcanal endoscopic myringoplasty is a feasible, safe, and effective procedure; it can be an alternative to microscopic surgery.
引言
经耳道鼓膜成形术具有手术时间要求较短和外部切口最小的优点。它可以通过显微镜或内镜方法进行。在过去十年中，内镜在耳外科手术中的应用显著增加。这项技术可以在不进行外耳道成形术的情况下，通过狭窄空间对小凹陷进行“拐角处”可视化，适用于条件不佳的耳道。
目的
描述在大学医疗服务机构中进行的一系列经耳道内镜鼓膜成形术病例。还讨论了该技术的特点、优点和缺点。
方法
一项病例系列研究，基于对2012年1月至2014年10月期间接受经耳道内镜鼓膜成形术患者的病历回顾。
结果
分析了22例患者的数据。所有患者中86.4%在术后三个月观察到鼓膜穿孔闭合。术后纯音平均听阈有统计学意义的改善（p<0.001）。
结论
经耳道内镜鼓膜成形术是一种可行、安全且有效的手术方法；它可以作为显微镜手术的替代方法。
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