Zhang Xiaowen, Ji Caili, Li Aifeng, Xu Zhenju, Zhang Xiaoheng
Department of Otorhinolaryngology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Ear Nose Throat J. 2022 Jun 19:1455613221107150. doi: 10.1177/01455613221107150.
To identify the differences in hearing, anatomical success rate, functional success rate, and complications between over-under tympanoplasty and medial tympanoplasty procedures.
The clinical data of patients with tympanic membrane perforation repaired by medial tympanoplasty between January 2011 and December 2016 and by over-under tympanoplasty between January 2017 and December 2020 were retrospectively analyzed. We evaluated the differences between medial tympanoplasty and over-under tympanoplasty.
The overall success rate of over-under tympanoplasty was higher than that of medial tympanoplasty (90.76% vs 81.31%). In large perforations, the success rate of over-under tympanoplasty was higher than that of medial tympanoplasty (89.80% vs 71.43%). There was no statistically significant difference in the success rate between the two treatment groups for moderate perforations. Furthermore, there was no statistically significant difference in the incidence of complications between the two groups ( = .2637).
Over-under tympanoplasty is more suitable for large perforations of the tympanic membrane and has a higher success rate as compared to medial tympanoplasty.
确定上鼓室-下鼓室鼓室成形术与中耳鼓室成形术在听力、解剖成功率、功能成功率及并发症方面的差异。
回顾性分析2011年1月至2016年12月采用中耳鼓室成形术修复鼓膜穿孔患者以及2017年1月至2020年12月采用上鼓室-下鼓室鼓室成形术修复鼓膜穿孔患者的临床资料。我们评估了中耳鼓室成形术与上鼓室-下鼓室鼓室成形术之间的差异。
上鼓室-下鼓室鼓室成形术的总体成功率高于中耳鼓室成形术（90.76%对81.31%）。在大穿孔中，上鼓室-下鼓室鼓室成形术的成功率高于中耳鼓室成形术（89.80%对71.43%）。对于中度穿孔，两组治疗成功率之间无统计学显著差异。此外，两组并发症发生率之间无统计学显著差异（P = 0.2637）。
上鼓室-下鼓室鼓室成形术更适用于鼓膜大穿孔，与中耳鼓室成形术相比成功率更高。
