Jichi Ika University Saitama Medical Center, Department of Otolaryngology, 1-847 Amanuma, Saitama 330-8503, Japan.
Jichi Ika University Saitama Medical Center, Department of Otolaryngology, 1-847 Amanuma, Saitama 330-8503, Japan.
Auris Nasus Larynx. 2021 Jun;48(3):368-376. doi: 10.1016/j.anl.2020.09.005. Epub 2020 Sep 29.
To determine whether myringoplasty can be an effective tool to control eosinophilic otitis media and improve hearing.
Severity scores for patients with eosinophilic otitis media with or without myringoplasty were retrospectively analyzed. Surgical outcomes were assessed and compared to those of patients with control: chronic otitis media with tympanic membrane perforation.
The average eosinophilic otitis media severity score for the patients with myringoplasty was significantly lower after than before surgery (P = 0.004), although the score for the group without myringoplasty remained stable during the study period. The success rate for graft uptake was 87.5%, and a statistically significant improvement was observed in the postoperative air conduction hearing level within the speech range (mean ± standard deviation; 41.5 ± 12.3 to 34.6 ± 9.22 dB; P = 0.0026) for patients with eosinophilic otitis media.
Myringoplasty contributed to decreased postoperative eosinophilic otitis media severity scores and should be considered to protect the patients from recurrent bacterial infections and pathogenic antigen parasitism in the middle ear.
探讨鼓膜成形术是否能有效控制嗜酸性中耳炎并改善听力。
回顾性分析伴或不伴鼓膜成形术的嗜酸性中耳炎患者的严重程度评分。评估手术结果，并与对照组（慢性中耳炎伴鼓膜穿孔）进行比较。
伴鼓膜成形术组患者的嗜酸性中耳炎严重程度评分在术后显著低于术前（P=0.004），而未行鼓膜成形术组患者的评分在研究期间保持稳定。移植物吸收率为 87.5%，术后言语频率气导听力水平有显著提高（平均±标准差；41.5±12.3 至 34.6±9.22 dB；P=0.0026）。
鼓膜成形术有助于降低术后嗜酸性中耳炎严重程度评分，应考虑将其用于保护患者免受中耳反复细菌感染和致病抗原寄生。
