Arora Manika, Goel Khushboo, Sharma Dinesh Kumar, Bhagat Sanjeev, Yadav Vishav, Aggarwal Ankita
Department of Head and Neck Oncology, Medanta the Medicity Hospital, Gurgaon, Haryana India.
Department of Otorhinolaryngology and Head and Neck Surgery, Government Medical College, Patiala, Punjab India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):758-763. doi: 10.1007/s12070-023-04274-3. Epub 2023 Nov 1.
To evaluate the anatomical and functional success rates of palisade cartilage tympanoplasty in chronic otitis media. Thirty patients with chronic otitis media with subtotal perforation underwent palisade cartilage tympanoplasty and were assessed prospectively. The outcomes evaluated were graft uptake and hearing gain. Overall graft uptake was 90% with failure in 3 cases. The preoperative mean air conduction threshold was 22.087 ± 6.120 dB which was improved to 13.387 ± 5.253 dB postoperatively at 12 weeks which was statistically significant. The mean postoperative ABG closure was 8.700 dB with a value of 0.001 which was statistically significant. Palisade cartilage tympanoplasty demonstrates that subtotal perforations, which are at high risk for graft failure, can be treated efficiently and a durable and resistant reconstruction of the tympanic membrane with reasonable hearing can be achieved.
评估慢性中耳炎中栅栏状软骨鼓室成形术的解剖学和功能成功率。30例慢性中耳炎伴鼓膜大部穿孔患者接受了栅栏状软骨鼓室成形术,并进行了前瞻性评估。评估的结果包括移植物吸收和听力改善。总体移植物吸收率为90%,3例失败。术前平均气导阈值为22.087±6.120dB,术后12周改善至13.387±5.253dB,具有统计学意义。术后平均气骨导差闭合为8.700dB,P值为0.001,具有统计学意义。栅栏状软骨鼓室成形术表明,鼓膜大部穿孔虽有较高的移植物失败风险,但仍可得到有效治疗,且能实现鼓膜的持久、稳固重建,并获得合理的听力。