脂肪移植鼓膜成形术修复鼓膜穿孔及恢复听力的长期稳定性
The Long-Term Stability of Fat-Graft Myringoplasty in the Closure of Tympanic Membrane Perforations and Hearing Restoration.
作者信息
Han Jae Sang, Han Jung Ju, Park Jung Mee, Seo Jae-Hyun, Park Kyoung Ho
机构信息
Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangneung, Republic of Korea.
出版信息
ORL J Otorhinolaryngol Relat Spec. 2021;83(2):85-92. doi: 10.1159/000512084. Epub 2020 Dec 18.
BACKGROUND/AIMS: This study was conducted to evaluate the long-term stability of fat-graft myringoplasty (FGM) for chronic tympanic membrane perforations, analyzing the perforation closure rate and re-gained hearing outcome with respect to the size and location of the perforations.
METHODS
Between August 2007 and June 2018, a total of 193 patients who underwent FGM due to chronic tympanic membrane perforation at a tertiary referral center were enrolled and analyzed.
RESULTS
The mean follow-up was 14.6 months (range 6-39). The complete perforation closure rate after FGM was 89.6%, with no statistical difference among the perforation size groups. The mean postoperative air-bone gap (ABG) was 11.0 dB and mean ABG improvement was 4.9 dB.
CONCLUSION
Our FGM technique had a favorable tympanic closure rate for small to large perforations, and yielded relatively good hearing improvement in the mid-size perforation cases over long-term follow-up periods. According to the topographic evaluation of FGM, this procedure resulted in a reliable perforation closure rate and audiological results regardless of the perforation site.
背景/目的：本研究旨在评估脂肪移植鼓膜成形术（FGM）治疗慢性鼓膜穿孔的长期稳定性，分析穿孔闭合率以及根据穿孔大小和位置恢复听力的结果。
方法
2007年8月至2018年6月，共有193例因慢性鼓膜穿孔在三级转诊中心接受FGM治疗的患者被纳入并进行分析。
结果
平均随访时间为14.6个月（范围6 - 39个月）。FGM术后完全穿孔闭合率为89.6%，各穿孔大小组之间无统计学差异。术后平均气骨导间距（ABG）为11.0 dB，平均ABG改善为4.9 dB。
结论
我们的FGM技术对小至大穿孔具有良好的鼓膜闭合率，并且在长期随访中，中型穿孔病例听力改善相对较好。根据FGM的地形学评估，无论穿孔部位如何，该手术都能获得可靠的穿孔闭合率和听力学结果。
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