全环状切除鼓室成形术后的听力评估——我们机构的经验
Hearing Assessment After Total Annular Excision Tympanoplasty- Our Institutional Experience.
作者信息
Agarwal Devisha, Chandra Manish
机构信息
Department of Otorhinolaryngology, KGMU Lucknow, Lucknow, India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3711-3717. doi: 10.1007/s12070-023-04083-8. Epub 2023 Jul 18.
OBJECTIVE
The objectives of this study were to record graft uptake, hearing status and any complication(s) after total annular excision (TAE) tympanoplasty and to compare them with previously operated underlay tympanoplasty patients.
DESIGN
Prospective study.
METHODS
Patients with chronic otitis media mucosal type aged between 15-45 years attending our outpatient department were assessed and eligible patients who gave consent for the study were included.
RESULT
Patients of chronic otitis media mucosal type who underwent TAE tympanoplasty had 80% graft uptake. Post TAE tympanoplasty patients had good hearing assessed by tuning fork test and pure tone audiometry. Maximum improvement in hearing was seen at 500Hz frequency by pure tone audiometry in TAE tympanoplasty group. Histopathological examination of remnant tympanic membrane showed mucosalization.
CONCLUSION
TAE tympanoplasty can effectively prevent development of granular myringitis.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s12070-023-04083-8.
目的
本研究的目的是记录全环状切除（TAE）鼓室成形术后的移植物吸收情况、听力状况及任何并发症，并将其与先前接受衬里法鼓室成形术的患者进行比较。
设计
前瞻性研究。
方法
对在我院门诊就诊的15至45岁慢性中耳炎黏膜型患者进行评估，纳入同意参与本研究的符合条件的患者。
结果
接受TAE鼓室成形术的慢性中耳炎黏膜型患者移植物吸收率为80%。TAE鼓室成形术后患者经音叉试验和纯音听力测定评估听力良好。TAE鼓室成形术组通过纯音听力测定在500Hz频率时听力改善最大。残余鼓膜的组织病理学检查显示黏膜化生。
结论
TAE鼓室成形术可有效预防颗粒性鼓膜炎的发生。
补充信息
在线版本包含可在10.1007/s12070-023-04083-8获取的补充材料。
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