Department of Otorhinolaryngology-Head and Neck Surgery, Medical Faculty, Harran University, Şanlıurfa, Turkey.
Department of Otorhinolaryngology-Head and Neck Surgery, Private Lotus Hospital, Şanlıurfa, Turkey.
Eur Arch Otorhinolaryngol. 2019 Sep;276(9):2427-2432. doi: 10.1007/s00405-019-05495-5. Epub 2019 Jun 11.
The anatomical and functional success rates of tragal cartilage perichondrium and temporal muscle fascia, in pediatric patients who underwent endoscopic type 1 tympanoplasty with limited tympanomeatal flap elevation, were compared.
In total, 35 pediatric patients (21 females, 14 males; mean age 11.0 ± 1.5 years; range 8-14 years) who underwent transcanal endoscopic type 1 tympanoplasty with limited elevation of the tympanomeatal flap were included in this study. Patients in group A received a tragal cartilage perichondrium graft and those in group B received a temporal muscle fascia graft. The groups were compared with respect to the pre- and postoperative air-bone gap (ABG) and tympanic membrane status.
The mean preoperative and postoperative ABG were 27.0 ± 9.2 and 9.0 ± 8.5 dB in group A, and 26.8 ± 8.8 and 11.6 ± 9.2 dB in group B, respectively. The group differences in pre- and postoperative ABG values were not significant (p = 0.882 and p = 0.417, respectively). However, in both groups, the postoperative ABG was significantly lower than the preoperative ABG (both p = 0.0001). The graft retention rate was 100% in group A and 88.2% in group B; the difference was not statistically significant (p = 0.134). There was also no statistically significant difference between the pre- and postoperative bone conduction values of the patients at 0.5, 1, 2, 3 or 4 kHz (all p > 0.05).
Our study demonstrated that in pediatric patients undergoing endoscopic tympanoplasty, both the tragal cartilage perichondrium and the temporal muscle fascia can be used successfully and safely as grafts in endoscopic type 1 tympanoplasty performed by limited tympanomeatal flap elevation.
比较儿童患者行内镜下 1 型鼓室成形术时，采用有限鼓室切开皮瓣掀起，使用耳屏软骨软骨膜和颞肌筋膜的解剖和功能成功率。
本研究共纳入 35 例（21 名女性，14 名男性；平均年龄 11.0±1.5 岁；8-14 岁）行经耳道内镜下 1 型鼓室成形术且采用有限鼓室切开皮瓣掀起的儿童患者。A 组患者接受耳屏软骨软骨膜移植物，B 组患者接受颞肌筋膜移植物。比较两组患者术前和术后的气骨导差（ABG）和鼓膜状态。
A 组患者的平均术前和术后 ABG 分别为 27.0±9.2 和 9.0±8.5 dB，B 组患者分别为 26.8±8.8 和 11.6±9.2 dB。两组患者的术前和术后 ABG 值差异无统计学意义（p=0.882 和 p=0.417）。然而，两组患者术后 ABG 均显著低于术前 ABG（均 p=0.0001）。A 组的移植物保留率为 100%，B 组为 88.2%；差异无统计学意义（p=0.134）。两组患者在 0.5、1、2、3 或 4 kHz 时的术前和术后骨导值之间也无统计学差异（均 p＞0.05）。
本研究表明，在儿童患者行内镜鼓室成形术中，采用有限鼓室切开皮瓣掀起行内镜下 1 型鼓室成形术时，耳屏软骨软骨膜和颞肌筋膜均可作为移植物安全且成功使用。
