皮下软组织与颞筋膜作为鼓室成形术移植物材料的比较：一项回顾性队列研究。
Comparison of subcutaneous soft tissue versus temporalis fascia as a tympanoplasty graft material: a retrospective cohort study.
机构信息
Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
J Laryngol Otol. 2024 Feb;138(2):153-161. doi: 10.1017/S0022215123000956. Epub 2023 May 23.
OBJECTIVE
This research compares the efficacy of subcutaneous soft tissue and temporalis fascia in tympanic membrane grafting for large tympanic membrane perforations.
METHODS
A retrospective cohort study compared tympanic membrane graft success rate and hearing outcomes in 248 patients who underwent tympanoplasty using subcutaneous soft tissue ( = 118) or temporalis fascia ( = 130) via the post-auricular approach.
RESULTS
Comparable results were observed in both groups. Tympanic membrane graft success rate was 98.3 per cent (116 ears) in the subcutaneous soft tissue group and 98.5 per cent (128 ears) in the temporalis fascia group. The rate of air-bone gap closure within 20 dB was 54.2 per cent (64 ears) and 60.0 per cent (78 ears) in the soft tissue and temporalis fascia groups, respectively ( = 0.360).
CONCLUSION
Subcutaneous soft tissue is a reliable and readily available tympanic membrane graft material in both revision and primary tympanoplasty for large tympanic membrane perforations.
目的
本研究比较了用于大鼓膜穿孔的鼓膜移植中皮下软组织和颞筋膜的疗效。
方法
通过耳后入路，回顾性队列研究比较了使用皮下软组织（= 118）或颞筋膜（= 130）进行鼓室成形术的 248 例患者的鼓膜移植成功率和听力结果。
结果
两组结果相当。皮下软组织组鼓膜移植成功率为 98.3%（116 耳），颞筋膜组为 98.5%（128 耳）。气骨导差在 20dB 以内的闭合率分别为 54.2%（64 耳）和 60.0%（78 耳）（= 0.360）。
结论
对于大鼓膜穿孔的鼓膜修复术和初次鼓室成形术，皮下软组织是一种可靠且易于获得的鼓膜移植材料。
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