Zhao Y X, Yu L S
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Dec;32(24):1912-1916. doi: 10.13201/j.issn.1001-1781.2018.24.017.
The aim of this study is to review the application, techniques and procedures of cartilage in the middle ear surgery. Cartilage offers the advantage of higher mechanical stability in tympanoplasty, which is the most common procedure in the middle ear surgery, thus apply to much complicated situation especially for tubal dysfunction and adhesive processes. There are many variations on the shape, size, thickness and technical matters of the cartilage grafts. The past decades and literature have observed excellent graft take rates and good postoperative hearing outcomes for cartilage tympanoplasty and the reservation of perichondrium seems to show better long-term survival. There have been concerns regarding malacia of cartilage struts, as a result, cartilage struts for ossiculoplasty have not gained popularity except for combined application with synthetic materials. Meanwhile, the benefits of cartilage in the reconstruction of posterior canal wall and attic, mastoid obliteration and adhesive otitis media have been demonstrated in the previously published studies. It is well to be reminded that cartilage could be applied in some unusual cases such as vibrant soundbridge, meningoencephalocele.
本研究的目的是回顾软骨在中耳手术中的应用、技术和操作。软骨在鼓膜成形术中具有更高机械稳定性的优势，鼓膜成形术是中耳手术中最常见的操作，因此适用于更为复杂的情况，尤其是咽鼓管功能障碍和粘连过程。软骨移植物在形状、大小、厚度和技术问题上有许多变化。过去几十年及相关文献表明，软骨鼓膜成形术的移植物成活率很高，术后听力效果良好，保留软骨膜似乎显示出更好的长期存活率。由于担心软骨支柱软化，除了与合成材料联合应用外，用于听骨成形术的软骨支柱并不受欢迎。同时，先前发表的研究已经证明了软骨在重建后鼓室壁和上鼓室、乳突充填和粘连性中耳炎中的益处。需要提醒的是，软骨可应用于一些特殊情况，如振动声桥、脑膜脑膨出。
