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儿童鼓膜内陷袋的软骨鼓膜成形术

Cartilage tympanoplasty for retraction pocket of the tympanic membrane in children.

作者信息

Urík Milan, Sobotková Kateřina, Bartoš Michal, Machač Josef, Kruntorád Vít, Jarkovský Jiří

机构信息

Department of Pediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine of Masaryk University, Brno, Czech Republic.

Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic.

出版信息

Front Pediatr. 2024 Feb 14;12:1314184. doi: 10.3389/fped.2024.1314184. eCollection 2024.

Abstract

BACKGROUND

Retraction pocket (RP) of the tympanic membrane (TM) is a common pathology in children that can cause ossicular chain erosion, cholesteatoma formation, and potentially life-threatening complications of cholesteatoma. This study assessed the functional and anatomical results of cartilage grafting in children with severe RP of the TM.

METHODS

This was a retrospective review of 212 children from a tertiary referral center.

RESULTS

We identified significant differences in hearing results, indication criteria, and location of TM fixation between stages II and III of RP (according to Charachon). We observed a significantly higher incidence of RP in boys than in girls.

CONCLUSIONS

Cartilage tympanoplasty for retraction pocket of the tympanic membrane in children is a safe procedure with good anatomical and hearing results.

摘要

背景

鼓膜内陷袋(RP)是儿童常见的一种病理状况,可导致听骨链侵蚀、胆脂瘤形成以及胆脂瘤可能危及生命的并发症。本研究评估了鼓膜严重内陷袋的儿童行软骨移植的功能和解剖学结果。

方法

这是一项对来自三级转诊中心的212名儿童的回顾性研究。

结果

我们发现RP的II期和III期(根据Charachon分期)在听力结果、适应证标准和鼓膜固定位置方面存在显著差异。我们观察到男孩中RP的发病率明显高于女孩。

结论

儿童鼓膜内陷袋的软骨鼓膜成形术是一种安全的手术,具有良好的解剖学和听力结果。

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Cartilage tympanoplasty for retraction pocket of the tympanic membrane in children.
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本文引用的文献

1
Pathogenesis of Retraction Pocket of the Tympanic Membrane-A Narrative Review.
Medicina (Kaunas). 2021 Apr 28;57(5):425. doi: 10.3390/medicina57050425.
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Immunohistochemical analysis of retraction pocket pars tensa of tympanic membrane in children.
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Histological analysis of retraction pocket pars tensa of tympanic membrane in children.
Int J Pediatr Otorhinolaryngol. 2016 Jul;86:213-7. doi: 10.1016/j.ijporl.2016.05.007. Epub 2016 May 12.
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Cartilage tympanoplasty for posterosuperior retraction pockets of the pars tensa in children.
Otol Neurotol. 2003 Mar;24(2):264-9. doi: 10.1097/00129492-200303000-00022.
10
Variability of Eustachian tube function: comparison of ears with retraction disease and normal middle ears.
Laryngoscope. 2000 Aug;110(8):1389-95. doi: 10.1097/00005537-200008000-00032.

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