Malhotra Manu, Varshney Saurabh, Malhotra Rashmi, Joshi Poonam
Associate Professor, Department of Otolaryngology, AIIMS, Rishikesh, Uttarakhand, India.
Professor, Department of Otolaryngology, AIIMS, Rishikesh, Uttarakhand, India.
J Clin Diagn Res. 2017 Jul;11(7):ME01-ME06. doi: 10.7860/JCDR/2017/26289.10199. Epub 2017 Jul 1.
Repair of Tympanic Membrane (TM) is one of the most common surgeries performed by the otologists. Literature reveals that Indian surgeons have contributed substantially in the research on techniques and graft materials used for the repair of tympanic membrane, though no review has been written so far highlighting their contributions.
To summarize and analyse the contributions of Indian authors who have used different graft materials for repair of TM and their studies listed in Medline search.
A literature review was conducted using a Medline search using keywords of 'myringoplasty' and 'tympanoplasty' with 'India' on 30th June 2016. A total of 243 articles were found listed onwards from year 1998. Out of these 50 articles in which type 1 tympanoplasty or myringoplasty was performed using different graft materials were selected. The content of each abstract was studied in order to identify studies related to topic.
Authors have experimented with a variety of tissues as graft materials. Temporalis Fascia (TF) has been most widely used in 58.6% studies as graft material. The next popular graft is tragal perichondrium. The graft take up rates varied from 68.5% to 100%, while method of reporting of hearing gain in most studies was inconsistent amongst studies, though most studies have reported achievement of serviceable hearing of < 25 dB in most patients.
TF was the most prefered material due to anatomic proximity, light material and strength. It was followed in popularity by tragal perichondrium and tragal cartilage. All graft materials have given satisfactory hearing results.
鼓膜（TM）修复术是耳科医生最常开展的手术之一。文献表明，印度外科医生在鼓膜修复技术及移植物材料的研究方面做出了重大贡献，尽管目前尚未有综述文章突出介绍他们的贡献。
总结并分析印度作者在使用不同移植物材料修复鼓膜方面的贡献以及他们在医学文献数据库检索中列出的研究。
于2016年6月30日使用医学文献数据库进行文献检索，关键词为“鼓膜成形术”和“鼓室成形术”以及“印度”。共找到自1998年起列出的243篇文章。其中，选取了50篇使用不同移植物材料进行Ⅰ型鼓室成形术或鼓膜成形术的文章。研究每篇摘要的内容，以确定与该主题相关的研究。
作者们尝试了多种组织作为移植物材料。颞肌筋膜（TF）在58.6%的研究中作为移植物材料使用最为广泛。其次常用的移植物是耳屏软骨膜。移植物的成功率在68.5%至100%之间，而大多数研究中听力改善的报告方法在各研究之间并不一致，不过大多数研究报告称大多数患者的有效听力增益小于25dB。
由于解剖位置接近、质地轻且强度高，颞肌筋膜是最常用的材料。其次是耳屏软骨膜和耳屏软骨。所有移植物材料都取得了令人满意的听力结果。
