Mandal Manit M, Panchal Ajay J, Kumar Rakesh, Wadia Mithram Z, Valiya Vipul V
Department of Otorhinolaryngology, Surat Municipal Institute of Medical Education and Research, Sahara Darwaja, Surat, Gujarat 395001 India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):3620-3625. doi: 10.1007/s12070-020-02146-8. Epub 2020 Sep 28.
The objective of the study was to study the outcomes of interlay type 1 tympanoplasty in large central perforations in terms of graft uptake, hearing improvement and complications. Study included 150 symptomatic patients having large central perforation in tympanic membrane willing for surgery who later underwent tympanoplasty with or without cortical mastoidectomy. All the patients selected for study, were assessed for subjective and objective evaluation pre-operatively and then post-operatively after 4 months. The study was conducted at tertiary health care hospital. Type I tympanoplasty with Interlay technique for large central perforations is superior. The Interlay technique in Type I tympanoplasty has high success both in terms of graft uptake as well as ABG closure. In the view of the advantages it offers, it should be preferred over the other conventional techniques in patients with large central perforations for better results.
本研究的目的是从移植物吸收、听力改善和并发症方面研究夹层式1型鼓室成形术治疗大的中央性穿孔的效果。研究纳入了150例有症状的鼓膜大中央性穿孔且愿意接受手术的患者，这些患者随后接受了有或无皮质乳突切除术的鼓室成形术。所有入选研究的患者在术前进行了主观和客观评估，然后在术后4个月进行了评估。该研究在三级医疗保健医院进行。采用夹层技术的I型鼓室成形术治疗大的中央性穿孔效果更佳。I型鼓室成形术中的夹层技术在移植物吸收以及气骨导差闭合方面都有很高的成功率。鉴于其提供的优势，对于大的中央性穿孔患者，为了获得更好的效果，应优先选择该技术而非其他传统技术。
