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[耳屏软骨-软骨膜在开放式鼓室成形术中的应用]

[The application of tragal cartilage-perichondrium in open method tympanoplasty].

作者信息

Li Y J, Jin X, Li P Z

机构信息

Department of Otolaryngology,Huai'an First People's Hospital, Nanjing Medical University, Huai'an, 223300, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Sep 5;31(17):1344-1346. doi: 10.13201/j.issn.1001-1781.2017.17.012.

DOI:10.13201/j.issn.1001-1781.2017.17.012
PMID:29798228
Abstract

To investigate the efficacy of the application of tragus cartilage-perichondrium in open method tympanoplasty.Thirty patients with middle ear cholesteatoma were treated with open method tympanoplasty and titanium ossicular prosthesis replacement surgery utilized the tragus cartilage-perichondrium, the air-bone gap and the recovery of tympanic membrane were observed before and after operation.Thirty ears achieved primary healing. After a follow-up of 12 months, no prosthesis extrusion and atticus lateral wall collapse were observed. The average air-bone gaps reduced by 13 dB in average.The tragus cartilage-perichondrium is an appropriate material in open method tympanoplasty.

摘要

探讨耳屏软骨-软骨膜在开放式鼓室成形术中应用的疗效。对30例中耳胆脂瘤患者行开放式鼓室成形术及钛质听骨假体置换术,术中采用耳屏软骨-软骨膜,观察手术前后气骨导差及鼓膜恢复情况。30耳均一期愈合。随访12个月,未见假体脱出及上鼓室外侧壁塌陷。气骨导差平均缩小13 dB。耳屏软骨-软骨膜是开放式鼓室成形术中合适的材料。

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