内镜下经外耳道软骨鼓膜成形术治疗鼓膜前穿孔
Endoscopic Push-Through Cartilage Myringoplasty for Anterior Perforations.
作者信息
Aggarwal Ankita, Bhagat Sanjeev, Sahni Dimple, Sharma Dinesh Kumar, Yadav Vishav
机构信息
Department of Otolaryngology, Head and Neck Surgery, Government Medical College Patiala, India.
出版信息
Iran J Otorhinolaryngol. 2023 Mar;35(127):77-82. doi: 10.22038/IJORL.2023.63643.3181.
INTRODUCTION
The study aims to evaluate the anatomical and functional success rates of endoscopic push-through cartilage myringoplasty for anterior tympanic membrane (TM) perforations.
MATERIALS AND METHODS
Thirty patients with TM perforations in the anterior quadrant underwent endoscopic push-through cartilage tympanoplasty and underwent prospective evaluation. The graft uptake rate and hearing gain were the outcomes evaluated.
RESULTS
Out of the 30 patients, 15 were male, and 15 were female. The mean age was 32.60 ± 13.66 years (from 18-60 years). The overall graft uptake rate was 90%, with failure observed in three cases. The mean preoperative air conduction threshold was 37.9 ± 5.83 dB which improved to 27.66 ± 4.88 dB at 16 weeks post-operation. The mean postoperative ABG closure was 7.28 dB with a p-value of 0.001 which was statistically significant.
CONCLUSIONS
Endoscopic push-through cartilage myringoplasty is the least invasive, safe, simple, and advantageous for healing TM perforation and hearing restoration.
引言
本研究旨在评估内镜下推进式软骨鼓膜成形术治疗鼓膜前穿孔的解剖学和功能成功率。
材料与方法
30例鼓膜前象限穿孔患者接受了内镜下推进式软骨鼓膜成形术，并进行了前瞻性评估。评估的结果为移植物吸收率和听力改善情况。
结果
30例患者中，男性15例，女性15例。平均年龄为32.60±13.66岁（18至60岁）。总体移植物吸收率为90%，3例出现失败。术前平均气导阈值为37.9±5.83dB，术后16周改善至27.66±4.88dB。术后平均气骨导差闭合为7.28dB，p值为0.001，具有统计学意义。
结论
内镜下推进式软骨鼓膜成形术是治疗鼓膜穿孔和听力恢复的侵入性最小、安全、简单且具有优势的方法。
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