Shady Eslam Farid Abu, El-Mofty Ismail Abdel-Monem, Hegazy El-Sayed Abdelhamid, Abdelhakam Rehab Bassam, Abdelsamie Alaa Mohamed
Otorhinolaryngology Department, Faculty of Medicine, Benha University, Benha, Qalyubia, Egypt.
Otorhinolaryngology Department, Faculty of Medicine, Benha University, Benha, Qalyubia, Egypt.
Am J Otolaryngol. 2024 Jan-Feb;45(1):104072. doi: 10.1016/j.amjoto.2023.104072. Epub 2023 Sep 29.
To compare outcomes of two different methods of meatoplasty following Canal Wall-Down tympanomastoidectomy.
A retrospective case review study of 48 patients with non-complicated unsafe chronic suppurative otitis media candidate for post-auricular canal wall-down tympanomastoidectomy via a post-auricular approach at Otolaryngology department, Benha university hospitals from January 2021 to January 2023, all were operated for the first time, and divided into 2 groups each of 24 patients. Group A submitted for classic 'Fisch', and group B 'Corner-Tag' meatoplasty.
The mean age was 28.88 ± 13.26 years in group A and 33.33 ± 16.04 years in group B. Only one patient (4.2 %) in each group developed wound infection and none in both groups developed perichondritis. Two patients (8.3 %) in group B compared to only one patient (4.2 %) in group A had granulations on the meatal incision. One patient (4.2 % of group A) needed revision meatoplasty. Group B needed more time for epithelization (mean 7.33 ± 0.96 weeks) than group A (mean 6.5 ± 0.88 weeks; P = 0.003*) also resulted in wider mean new meatus in group B (mean 10.50 ± 1.02 mm) than in group A (mean 9.63 ± 1.41 mm; P = 0.02*).
Both techniques had comparable post-operative complications. 'Corner-Tag' technique needed more time for healing and epithelization but gave a wider new meatal diameter than 'Fisch' meatoplasty after one year of follow-up.
比较耳道壁下鼓室乳突切除术后两种不同外耳道成形术的效果。
对2021年1月至2023年1月在本哈大学医院耳鼻喉科通过耳后入路接受耳后耳道壁下鼓室乳突切除术的48例非复杂性不安全慢性化脓性中耳炎患者进行回顾性病例研究，所有患者均为首次手术，分为两组，每组24例。A组采用经典的“菲施”法，B组采用“角状标签”外耳道成形术。
A组平均年龄为28.88±13.26岁，B组为33.33±16.04岁。每组仅1例患者（4.2%）发生伤口感染，两组均无软骨膜炎发生。B组有2例患者（8.3%）耳道切口有肉芽组织，而A组仅1例患者（4.2%）有。A组1例患者（4.2%）需要进行外耳道成形术修复。B组上皮化所需时间比A组更长（平均7.33±0.96周）（A组平均6.5±0.88周；P=0.003*），B组新耳道平均宽度（平均10.50±1.02mm）也比A组更宽（平均9.63±1.41mm；P=0.02*）。
两种技术术后并发症相当。随访一年后，“角状标签”技术愈合和上皮化所需时间更长，但新耳道直径比“菲施”外耳道成形术更宽。
