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中耳黏膜型慢性化脓性中耳炎干耳与湿耳鼓室成形术疗效研究

Study of Outcomes of Tympanoplasty Between Wet and Dry Ears in Mucosal Type of COM.

作者信息

Sesodia Neha, Bhargava Puneet, Agrawal Anjana, Vaidya Sudhakar

机构信息

Ruxmaniben Deepchand Gardi Medical College, Ujjain, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):79-83. doi: 10.1007/s12070-020-01835-8. Epub 2020 Apr 1.

DOI:10.1007/s12070-020-01835-8
PMID:36032900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9411415/
Abstract

This study compares the results of Tympanoplasty in terms of graft uptake and hearing improvement in patients with Chronic Otitis Media which are divided on the basis of discharging ear and non discharging ear with perforation at the time of surgery. Total 110 patients were selected suffering from chronic otitis media. Out which 55 patients had discharging ear (wet ear) and 55 patients had non discharging ear (dry ear). Tympanoplasty was performed using temporalis fascia graft. Hearing improvement and graft uptake was seen in both wet and dry ears. No statistically difference is noted in the results between the two. Mucoid ear discharge at the time of surgery is not a contraindication for Tympanoplasty as it has no adverse effects on the outcomes of the surgery in respect to graft uptake and hearing improvement.

摘要

本研究比较了慢性中耳炎患者鼓室成形术在移植物吸收和听力改善方面的结果,这些患者根据手术时是否有流脓耳和无流脓耳伴穿孔进行分组。共选择了110例慢性中耳炎患者。其中55例患者有流脓耳(湿耳),55例患者有无流脓耳(干耳)。采用颞肌筋膜移植物进行鼓室成形术。在湿耳和干耳中均观察到听力改善和移植物吸收。两者结果之间未发现统计学差异。手术时的黏液样耳漏不是鼓室成形术的禁忌证,因为它对手术在移植物吸收和听力改善方面的结果没有不利影响。

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本文引用的文献

1
Comparative Study of Outcome of Endoscopic Myringoplasty in Active and Inactive Mucosal Chronic Otitis Media Patients.活动性与非活动性黏膜慢性中耳炎患者内镜下鼓膜成形术结局的比较研究
Indian J Otolaryngol Head Neck Surg. 2017 Sep;69(3):319-322. doi: 10.1007/s12070-017-1121-6. Epub 2017 Apr 6.
2
Comparison of Tympanoplasty Results in Dry and Wet Ears.干耳与湿耳情况下鼓室成形术结果的比较
Iran J Otorhinolaryngol. 2016 May;28(86):209-14.
3
Evaluation and comparison of type I tympanoplasty efficacy and histopathological changes to the tympanic membrane in dry and wet ear: a prospective study.干湿耳中I型鼓室成形术疗效及鼓膜组织病理学变化的评估与比较:一项前瞻性研究
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4
Comparative study of outcome of type I tympanoplasty in dry and wet ear.干耳与湿耳情况下I型鼓室成形术结果的对比研究
Indian J Otolaryngol Head Neck Surg. 2009 Jun;61(2):138-40. doi: 10.1007/s12070-009-0053-1. Epub 2009 Jun 14.
5
Efficacy of tympanoplasty without mastoidectomy for chronic suppurative otitis media.不伴乳突切除术的鼓室成形术治疗慢性化脓性中耳炎的疗效
Arch Otolaryngol Head Neck Surg. 2008 Nov;134(11):1155-8. doi: 10.1001/archotol.134.11.1155.
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Outcome of type-1 tympanoplasty.Ⅰ型鼓室成形术的结果
Saudi Med J. 2003 Jan;24(1):58-61.