Ozturk Murat, Topdag Deniz Ozlem, Mutlu Ahmet, Bayraktar Hakan, Erdogan Selvet, Iseri Mete
Kocaeli University Faculty of Medicine, Department of Otorhinolaryngology, Kocaeli, Turkey.
Acıbadem Medicine Group, Hospital of Altunizade, Istanbul, Turkey.
Medeni Med J. 2021;36(3):249-256. doi: 10.5222/MMJ.2021.96393. Epub 2021 Sep 30.
Tegmen defects occur mainly due to cholesteatoma and iatrogenic trauma, and the intervention for the related defects is still a debate. In this study, we aimed to discuss our clinical experience on the management of the tegmen defects which were revealed during the mastoidectomy surgeries.
This study was designed as a retrospective chart review study and patients who were operated between 2007-2017 were included. The causes of the defects, repair technics, and results of the long-term follow up were evaluated. The perioperative and postoperative defect sizes which were obtained from the radiological studies were analyzed.
Total number of 62 patients had tegmen defects, and their etiologic factors were cholesteatoma in 31 (50%), iatrogenic factors in 29 (46.7%), and chronic infection in 2 (3.3%) patients. The number of the tegmen defects was higher in intact canal wall technic. All of the tegmen defects were repaired with different materials, and no complication was detected. The obtained data from the postoperative radiological images revealed that the related perioperative defects were significantly decreased (p<0.001).
The perioperative bone defects were observedly decreased significantly in postoperative period. Early detection of the defect and appropriate interventions may help to manage this problem without any complication in the long term.
鼓室盖缺损主要由胆脂瘤和医源性创伤引起，针对相关缺损的干预措施仍存在争议。在本研究中，我们旨在探讨在乳突切除术中发现的鼓室盖缺损的临床处理经验。
本研究设计为一项回顾性病历审查研究，纳入了2007年至2017年间接受手术的患者。评估缺损的原因、修复技术以及长期随访结果。分析从影像学研究中获得的围手术期和术后缺损大小。
共有62例患者存在鼓室盖缺损，其病因包括胆脂瘤31例（50%）、医源性因素29例（46.7%）、慢性感染2例（3.3%）。完整外耳道壁技术中鼓室盖缺损的数量更多。所有鼓室盖缺损均采用不同材料进行修复，未发现并发症。术后影像学图像获得的数据显示，相关围手术期缺损显著减少（p<0.001）。
术后观察到围手术期骨缺损显著减少。早期发现缺损并采取适当干预措施可能有助于长期无并发症地处理这一问题。
