Zhao Xiaobing, Chen Renjie
Department of Otorhinolaryngology Head and Neck Surgery，Second Affiliated Hospital of Nanjing Medical University，Nanjing，210011，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Feb;37(2):157-160. doi: 10.13201/j.issn.2096-7993.2023.02.017.
Cartilage has undergone rapid development in ear surgery since Heermann used the grid cartilage technique to repair large perforations of the tympanic membrane. Cartilage has been widely used in tympanoplasty, ossicular chain reconstruction, reconstruction of the lateral wall of the upper tympanic cavity and the posterior wall of the external auditory canal due to its advantages of convenient sampling, high stability, good elasticity, low metabolic rate, easy survival and strong plasticity. This paper reviews the use of cartilage in tympanoplasty and discusses the possibility of placing cartilage on the stapes head for reconstruction of the auditory chain in type Ⅱ tympanoplasty.
自从赫尔曼使用网格软骨技术修复鼓膜大穿孔以来，软骨在耳外科手术中得到了快速发展。由于软骨具有取材方便、稳定性高、弹性好、代谢率低、易于存活和可塑性强等优点，已被广泛应用于鼓室成形术、听骨链重建、上鼓室侧壁和外耳道后壁重建。本文综述了软骨在鼓室成形术中的应用，并探讨了在Ⅱ型鼓室成形术中将软骨放置在镫骨头用于听觉链重建的可能性。
