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双侧同期内镜鼓室成形术。

Bilateral same-day endoscopic tympanoplasty.

机构信息

Recep Tayyip Erdogan University of Medicine, Department of Otorhinolaryngology, Turkey.

Recep Tayyip Erdogan University of Medicine, Department of Otorhinolaryngology, Turkey.

出版信息

Am J Otolaryngol. 2020 Mar-Apr;41(2):102397. doi: 10.1016/j.amjoto.2020.102397. Epub 2020 Jan 9.

DOI:10.1016/j.amjoto.2020.102397
PMID:32070666
Abstract

PURPOSE

Although bilateral same-day tympanoplasty is a faster and more comfortable procedure for patients, it is rarely performed due to its theoretical risks. The present study aims to evaluate the results of patients who underwent bilateral same-day endoscopic tympanoplasty.

MATERIALS AND METHODS

In this study, 26 patients and 52 ears were evaluated. Postoperative anatomic success rate, pre- and postoperative hearing test results, hearing gains and postoperative complications were recorded.

RESULTS

Postoperative anatomic success rate was 92.3% (48/52). Audiological tests revealed the preoperative air-bone gap (ABG) as 19.1 ± 8.8 (7-35) dB and postoperative ABG as 9.8 ± 5.7 (5-25) dB. Postoperative ABG decreased significantly (p: <0.001) and 9.2 ± 4.6 (2-23) dB hearing gain was obtained. We did not observe any significant complications.

CONCLUSION

Bilateral same-day endoscopic tympanoplasty is a feasible surgical procedure with good anatomic and functional outcomes, low complication rate and good postoperative patient comfort.

摘要

目的

尽管双侧同日鼓室成形术对患者来说是一种更快、更舒适的手术方式,但由于其存在理论风险,因此很少实施。本研究旨在评估接受双侧同日内镜鼓室成形术患者的结果。

材料和方法

本研究共评估了 26 名患者和 52 只耳朵。记录了术后解剖成功率、术前和术后听力测试结果、听力增益和术后并发症。

结果

术后解剖成功率为 92.3%(48/52)。听力测试显示术前气骨导差(ABG)为 19.1±8.8(7-35)dB,术后 ABG 为 9.8±5.7(5-25)dB。术后 ABG 显著降低(p:<0.001),听力增益为 9.2±4.6(2-23)dB。我们未观察到任何显著的并发症。

结论

双侧同日内镜鼓室成形术是一种可行的手术方法,具有良好的解剖和功能结果、低并发症发生率和良好的术后患者舒适度。

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Bilateral same-day endoscopic tympanoplasty: a paradigm shift? or mere hype?双侧同日内镜下鼓室成形术:是范式转变?还是纯粹炒作?
Eur Arch Otorhinolaryngol. 2025 Apr;282(4):2155-2158. doi: 10.1007/s00405-024-09178-8. Epub 2024 Dec 24.