Department of Head and Neck Surgery and Communication Sciences, Duke University, Durham, North Carolina, USA.
School of Medicine, Duke University, Durham, North Carolina, USA.
Otolaryngol Head Neck Surg. 2022 Feb;166(2):334-336. doi: 10.1177/01945998211012292. Epub 2021 May 11.
The inception of medial grafting as a technique for tympanic membrane repair was a critical milestone in the history of otology. John Shea introduced the medial graft technique and the use of vein grafts for tympanoplasty in 1960 after realizing that the vein grafts that he used to repair the oval window after stapedectomy could also be utilized to repair tympanic membrane perforations. At the time, tympanoplasty often utilized skin grafts, which required placement of the graft lateral to the tympanic membrane annulus. Placement of the graft medial to the tympanic membrane annulus allowed for more efficient surgery and avoided the complications associated with lateral grafting, such as blunting and lateralization. The introduction of vein grafts in tympanoplasty prompted a fundamental shift in technique from lateral to medial grafting, paving the way for decades of innovation in tympanoplasty.
鼓室成形术中使用中鼻甲黏膜作为鼓膜修复技术的出现是耳科学史上的一个重要里程碑。1960 年，John Shea 意识到他在镫骨切除术修复卵圆窗后使用的静脉移植物也可用于修复鼓膜穿孔，于是引入了中鼻甲黏膜移植技术和静脉移植物在鼓室成形术中的应用。当时，鼓室成形术通常使用皮肤移植物，需要将移植物放置在鼓膜环的外侧。将移植物放置在鼓膜环的内侧可以进行更有效的手术，并避免与外侧移植物相关的并发症，如钝化和侧移。鼓室成形术中静脉移植物的引入促使技术从外侧向内侧移植物发生根本性转变，为鼓室成形术的数十年创新铺平了道路。
