Alharbi Salmah M, Mohammed Wardah Y, Al Ardi Talat, Al-Qahtani Ali S
Department of Otolaryngology, Head and Neck Surgery, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2019 Feb;40(2):199-201. doi: 10.15537/smj.2019.2.23896.
To assess the outcome of a myringoplasty procedure during a 5-year period at a tertiary teaching hospital in Abha, Kingdom of Saudi Arabia.
All patients with chronic suppurative otitis media (CSOM) who underwent elective myringoplasty between August 2012 and February 2018 were included in the study. Patients were investigated preoperatively and postoperatively by pure tone audiometry (PTA). The patients' demographic data were collected together with the surgical outcome. Postoperatively, patients were followed at the first week, at 6 weeks and then every 3 months, thereafter for one year.
A total of 67 myringoplasty procedures were performed during the period of study. There were 41 females and 26 males, and they had an age range of 16-60 years and a mean age of 32.37±12.95 years. Preoperative PTA indicated that 58 (86.6%) patients had a hearing gap greater than 20 dB. However, after surgery, only 9 (13.4%) patients remained with hearing gaps greater than 20 dB. The success rate of graft stability at the end of one year was 94% with significant difference p=0.0001. However, one patient of the 4 patients with failed graft stability demonstrated graft atrophy, and the remaining 3 developed graft infection. Conclusion: Myringoplasty remains a useful technique for the management of CSOM. However, it depends on the surgeon's skills and expertise and on the site of perforation. The success rate of myringoplasty in this study was comparable with that of the quoted literature.
评估沙特阿拉伯王国阿卜哈市一家三级教学医院在5年期间鼓膜成形术的治疗效果。
本研究纳入了2012年8月至2018年2月期间接受择期鼓膜成形术的所有慢性化脓性中耳炎（CSOM）患者。术前和术后通过纯音听力测定（PTA）对患者进行检查。收集患者的人口统计学数据以及手术结果。术后，在第1周、第6周进行随访，此后每3个月随访一次，持续一年。
在研究期间共进行了67例鼓膜成形术。其中女性41例，男性26例，年龄范围为16 - 60岁，平均年龄为32.37±12.95岁。术前PTA显示，58例（86.6%）患者听力差距大于20 dB。然而，术后只有9例（13.4%）患者听力差距仍大于20 dB。一年后移植物稳定性的成功率为94%，差异有统计学意义（p = 0.0001）。然而，在4例移植物稳定性失败的患者中，1例出现移植物萎缩，其余3例发生移植物感染。结论：鼓膜成形术仍然是治疗CSOM的一种有用技术。然而，它取决于外科医生的技能和专业知识以及穿孔部位。本研究中鼓膜成形术的成功率与引用文献中的成功率相当。
