使用耳甲软骨的各类鼓室成形术的解剖学结果及听力改善研究
Study of Anatomical Results and Hearing Improvement in Various Types of Tympanoplasty Using Conchal Cartilage.
作者信息
Bhojani Dhaval, Vaidya Sudhakar
机构信息
Department of ENT, R.D Gardi Medical College, Ujjain, 456001 MP India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4487-4492. doi: 10.1007/s12070-024-04891-6. Epub 2024 Jul 16.
This study was undertaken for study of anatomical results and hearing improvement in various types of tympanoplasty using conchal cartilage. A total of 100 patients were taken for this study the patients belongs to varying age groups from 1st to 6th decade of life.Maximum patients were in between age group 21 to 30 years, 37 (37%) patients and minimum 02(2%) between age group 51 to 60 years. Out of these an overall average gain of 13.33dB in PTA(pure tone audiometry) as well as ABG(air bone gap) was seen however an overall average deficit of 32.15dB in PTA as well as 16.43dB in ABG was seen. The tympanoplasty performed were with or without any additional surgeries of mastoid like Cortical, Atticotomy, CWW, MRM.The pre and post ABG was mainstay for each of our case and final anatomical result of graft uptake.
本研究旨在探讨使用耳甲软骨进行的各类鼓室成形术的解剖学结果及听力改善情况。本研究共纳入100例患者，患者年龄跨度从1岁至60岁。最大患者群体年龄在21至30岁之间，共37例（37%），最小患者群体年龄在51至60岁之间，共2例（2%）。在这些患者中，纯音听力测定（PTA）以及气骨导差（ABG）总体平均增益为13.33dB，然而PTA总体平均缺损为32.15dB，ABG总体平均缺损为16.43dB。所进行的鼓室成形术伴有或不伴有任何额外的乳突手术，如皮质乳突切开术、上鼓室切开术、CWW、改良乳突根治术。术前和术后的ABG是我们每个病例的主要依据以及移植物摄取的最终解剖学结果。
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