Jiang Z, Lou Z
Department of Otorhinolaryngology,Yiwu Central Hospital,Zhejiang,China.
Department of Clinical Medicine,Xinxiang Medical University,Henan,China.
J Laryngol Otol. 2017 Jun;131(6):472-475. doi: 10.1017/S0022215117000615. Epub 2017 Mar 20.
Temporalis fascia has become the most widely used graft for tympanoplasty, as it is strong, durable, and easy to procure and handle. However, the type of temporalis fascia graft to use (i.e. dry or wet) remains controversial. The present review aimed to evaluate the success rates of dry and wet temporalis fascia grafts in type I underlay tympanoplasty.
A literature search was performed, using PubMed up to August 2016, to identify all studies of dry and wet temporalis fascia grafts in type I underlay tympanoplasty. The initial search using the key words 'temporalis fascia' and 'tympanoplasty' identified 130 articles; these were screened by reviewing the titles or abstracts based on the inclusion and exclusion criteria. Ultimately, this review included seven articles.
A dry or wet temporalis fascia graft did not affect the outcome of type I underlay tympanoplasty. However, using wet temporalis fascia could shorten the duration of surgery in type I underlay tympanoplasty. Concerns that the fibroblast count of temporalis fascia may beneficially affect success rate have not been substantiated in clinical reports thus far.
颞肌筋膜因其坚韧、耐用且易于获取和处理，已成为鼓膜成形术中应用最为广泛的移植物。然而，使用何种类型的颞肌筋膜移植物（即干燥的或湿润的）仍存在争议。本综述旨在评估干燥和湿润颞肌筋膜移植物在Ⅰ型夹层鼓膜成形术中的成功率。
利用截至2016年8月的PubMed进行文献检索，以确定所有关于干燥和湿润颞肌筋膜移植物在Ⅰ型夹层鼓膜成形术中的研究。最初使用关键词“颞肌筋膜”和“鼓膜成形术”进行检索，共识别出130篇文章；根据纳入和排除标准，通过审阅标题或摘要对这些文章进行筛选。最终，本综述纳入了7篇文章。
干燥或湿润的颞肌筋膜移植物并不影响Ⅰ型夹层鼓膜成形术的结果。然而，使用湿润的颞肌筋膜可缩短Ⅰ型夹层鼓膜成形术的手术时间。目前临床报告尚未证实颞肌筋膜的成纤维细胞计数可能对成功率产生有益影响这一担忧。
