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小儿软骨鼓膜成形术:一种使用我们的内镜固定器的双手技术。

Paediatric Cartilage Tympanoplasty: A Two Handed Technique with Our Endoscope Holder.

作者信息

Khan Mubarak Muhamed, Parab Sapna Ramkrishna

机构信息

Sushrut ENT Hospital, Dr. Khan's ENT Research Center, Talegaon Dabhade, Pune, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):3865-3871. doi: 10.1007/s12070-021-02678-7. Epub 2021 Jun 22.

Abstract

UNLABELLED

The aim of the study is to evaluate the functional and anatomical results of paediatric sliced cartilage type 1 tympanoplasty using our endoscope holder. It is Retrospective Non Randomized Clinical Study. A total of consecutive 81 children operated from January 2016 to December 2017 for endoscopic type I sliced cartilage tympanoplasty with endoscope holder were included in the study. The study included 44 males and 37 females. The patients ranged from 8 to 18 years. In early follow up period ranging from 24 to 48 months, the graft take up was seen in 76 follow up giving a success rate of 93.82 percent. The pre-operative air-bone gap was 32.34 ± 2.71 dB and the post-operative mean 4 tone air-bone gap at 1 and 2 years was 9.12 ± 2.37 dB and 9.42 ± 1.38 dB respectively. The study reports the good air bone closure and anatomical closure of perforation with sliced cartilage in paediatric tympanoplasty.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-021-02678-7.

摘要

未标注

本研究的目的是使用我们的内窥镜固定器评估儿童1型切片软骨鼓膜成形术的功能和解剖学结果。这是一项回顾性非随机临床研究。2016年1月至2017年12月期间,共有81例连续接受内窥镜固定器辅助的内窥镜I型切片软骨鼓膜成形术的儿童纳入研究。研究包括44名男性和37名女性。患者年龄在8至18岁之间。在24至48个月的早期随访期内,76例随访中观察到移植物成活,成功率为93.82%。术前气骨导差为32.34±2.71dB,术后1年和2年的平均4个音调气骨导差分别为9.12±2.37dB和9.42±1.38dB。该研究报告了儿童鼓膜成形术中使用切片软骨实现了良好的气骨导闭合和穿孔的解剖学闭合。

补充信息

在线版本包含可在10.1007/s12070-021-02678-7获取的补充材料。

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本文引用的文献

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Modified Endoscope Holder for Two Handed Endoscopic Ear Surgery.
Indian J Otolaryngol Head Neck Surg. 2020 Sep;72(3):335-341. doi: 10.1007/s12070-020-01841-w. Epub 2020 Apr 4.
2
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Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1334-1342. doi: 10.1007/s12070-018-1411-7. Epub 2018 May 29.
4
Endoscopic Management of Tympanic Membrane Retraction Pockets: A Two Handed Technique with Endoscope Holder.
Indian J Otolaryngol Head Neck Surg. 2019 Dec;71(4):504-511. doi: 10.1007/s12070-019-01682-2. Epub 2019 Jun 20.
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New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications.
Indian J Otolaryngol Head Neck Surg. 2018 Dec;70(4):515-520. doi: 10.1007/s12070-018-1467-4. Epub 2018 Jul 31.
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Type 1 tympanoplasty in pediatric patients: a review of 102 cases.
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