Lou Z, Li X
Department of Otorhinolaryngology, Yiwu Central Hospital, China.
Department of Otolaryngology, Jining No. 1 People's Hospital, China.
J Laryngol Otol. 2020 Aug 5:1-6. doi: 10.1017/S0022215120001486.
The outcomes of dry and wet ears were compared following endoscopic cartilage myringoplasty performed to treat chronic tympanic membrane perforations in patients with mucosal chronic otitis media.
Patients with chronic perforations, and with mucosal chronic otitis media with or without discharge, were recruited; all underwent endoscopic cartilage myringoplasty. The graft success rate and hearing gain were evaluated at six months post-operatively.
The graft success rates were 85.9 per cent (67 out of 78) in dry ears and 86.2 per cent (25 out of 29) in wet ears; the difference was not significant (p = 0.583). Among the 29 wet ears, the graft success rates were 100 per cent in 11 ears with mucoid discharge and 77.8 per cent in the 18 patients with mucopurulent otorrhoea.
The wet or dry status of ears in patients with chronic perforations with mucosal chronic otitis media did not affect graft success rate or hearing gain after endoscopic cartilage myringoplasty. However, ears with mucopurulent discharge were associated with increased failure rates and graft collapse, whereas ears with mucoid discharge were associated with higher graft success rates.
比较在患有黏膜性慢性中耳炎的患者中，采用内镜下软骨鼓膜成形术治疗慢性鼓膜穿孔后干耳和湿耳的治疗效果。
招募患有慢性穿孔且伴有或不伴有分泌物的黏膜性慢性中耳炎患者；所有患者均接受内镜下软骨鼓膜成形术。术后六个月评估移植物成功率和听力改善情况。
干耳的移植物成功率为85.9%（78例中的67例），湿耳的移植物成功率为86.2%（29例中的25例）；差异无统计学意义（p = 0.583）。在29例湿耳中，11例黏液样分泌物耳的移植物成功率为100%，18例黏液脓性耳漏患者的移植物成功率为77.8%。
患有黏膜性慢性中耳炎的慢性穿孔患者的耳干或湿状态，在内镜下软骨鼓膜成形术后不影响移植物成功率或听力改善情况。然而，黏液脓性分泌物耳的失败率和移植物塌陷增加，而黏液样分泌物耳的移植物成功率较高。
