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鼓膜成形术成功是否会影响咽鼓管功能?

Does Successful Myringoplasty Affect Eustachian Tube Function?

作者信息

Sayed Ramadan Hashem, Youssif Mostafa A, Ali Khaled Abd El Rahman, Ragheb Dalia Talaat, Dahy Khaled Gamal

机构信息

Department of Otolaryngology-Head and Neck Surgery, Sohag University, Sohag, Egypt.

Audiology Unit, Department of Otolaryngology-Head and Neck Surgery, Sohag University, Sohag, Egypt.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):724-729. doi: 10.1007/s12070-021-02534-8. Epub 2021 Apr 2.

Abstract

UNLABELLED

Eustachian tube (ET) is a tube connecting the middle ear cavity with the nasopharynx and has an important role in equalization of pressure around TM. Many studies investigated the role of ET function tests on the results of myringoplasty/tympanoplasty. Our aim is to assess the effect of successful myringoplasty on Eustachian tube function. A prospective study included 37 patients admitted to the E.N.T Department at Sohag University Hospital in the period between March 2018 and March 2019 suffering from dry central perforation necessitating myringoplasty. Pre-operative E.T function tests using tympanometry and methylene blue dye test were done. Post-operative follow-up tympanometry was done after 3 months for those with successful myringoplasty and compared to the preoperative assessment. Thirty-one (83%) patients had functioning ET, 6 (17%) had non-functioning ET and 32 patients (86.5%) had successful myringoplasty (taken healthy graft). According to the effect of myringoplasty on ET function test 3 months following surgery, (9%) were affected, either improved (3%) or worsen (6%), while (91%) were not affected by tympanometry in those with taken healthy graft cases. In our study, there was no significant effect of myringoplasty on E.T function.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-021-02534-8.

摘要

未标注

咽鼓管(ET)是连接中耳腔与鼻咽部的管道,在鼓膜周围压力平衡中起重要作用。许多研究探讨了咽鼓管功能测试对鼓膜成形术/鼓室成形术结果的作用。我们的目的是评估成功的鼓膜成形术对咽鼓管功能的影响。一项前瞻性研究纳入了2018年3月至2019年3月期间在索哈格大学医院耳鼻喉科住院的37例因干性中央穿孔需要进行鼓膜成形术的患者。术前使用鼓室导抗图和亚甲蓝染料试验进行咽鼓管功能测试。鼓膜成形术成功的患者在术后3个月进行术后随访鼓室导抗图检查,并与术前评估进行比较。31例(83%)患者的咽鼓管功能正常,6例(17%)患者的咽鼓管功能异常,32例(86.5%)患者鼓膜成形术成功(采用健康移植物)。根据术后3个月鼓膜成形术对咽鼓管功能测试的影响,(9%)受到影响,改善(3%)或恶化(6%),而在采用健康移植物的病例中,(91%)不受鼓室导抗图影响。在我们的研究中,鼓膜成形术对咽鼓管功能没有显著影响。

补充信息

在线版本包含可在10.1007/s12070-021-02534-8获取的补充材料。

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