保留耳软骨的廊状皮岛状耳郭复合组织瓣移植技术的听力和移植物成活率。
Rates of success in hearing and grafting in the perichondrium-preserved palisade island graft technique.
机构信息
Health Sciences University, Kocaeli Derince Education and Research Hospital, Department of Otorhinolaryngology, Derince, Turkey.
Health Sciences University, Kocaeli Derince Education and Research Hospital, Department of Otorhinolaryngology, Derince, Turkey.
出版信息
Braz J Otorhinolaryngol. 2021 May-Jun;87(3):305-309. doi: 10.1016/j.bjorl.2019.09.009. Epub 2019 Nov 2.
INTRODUCTION
Various graft materials have been used in the tympanoplasty technique. Cartilage grafts are being used increasingly in recent years.
OBJECTIVE
The aim of this study was to present the comparative outcomes of the perichondrium-preserved palisade island graft technique previously defined by ourselves.
METHODS
We retrospectively compared the hearing and graft success rates in 108 patients with chronic otitis media, who had undergone cartilage tympanoplasty, where both island and perichondrium-preserved palisade graft techniques were used.
RESULTS
The success rates among the study and the control groups with regard to graft take were 97% and 93%, respectively. No significant difference was observed between the groups with regard to the postoperative mean pure tone values, improvement in air-bone gaps and reduction in air-bone gaps to under 20dB. However, better results were observed in the study group.
CONCLUSION
The perichondrium-preserved palisade island graft technique is an easy method with high graft success rates and hearing outcomes.
简介
在鼓室成形术中，已经使用了各种移植物材料。近年来，软骨移植物的使用越来越多。
目的
本研究旨在介绍我们之前定义的保留软骨膜的栅栏状岛状移植物技术的比较结果。
方法
我们回顾性比较了 108 例慢性中耳炎患者的听力和移植物成功率，这些患者均接受了软骨鼓室成形术，其中使用了岛状和保留软骨膜的栅栏状移植物技术。
结果
研究组和对照组的移植物成活率分别为 97%和 93%，两组间术后平均纯音值、气骨间隙改善和气骨间隙降低至 20dB 以下的情况无显著差异。然而，研究组的结果更好。
结论
保留软骨膜的栅栏状岛状移植物技术是一种成功率高、听力效果好的简单方法。
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