Gao Xiaochen, Qi Wenwen, Yuan Fangyu, Liu Chengcheng, Li Hui, Dong Yuhan, Cao Xue, Li Chengzhilin, Xia Ming, Xie Fengyang
Department of Otolaryngology Shandong Provincial Hospital Affiliated to Shandong First Medical University Jinan China.
Medical Science and Technology Innovation Center Shandong First Medical University Jinan China.
Laryngoscope Investig Otolaryngol. 2025 Aug 7;10(4):e70222. doi: 10.1002/lio2.70222. eCollection 2025 Aug.
We conducted this study to investigate the clinical outcomes of a new self-created technique for improving tympanoplasty. This technique, called the external auditory canal flap advancement method, aims to treat large tympanic membrane perforations, particularly those without residual edges at the anterior margin.
We selected 30 patients (50 ears) with large tympanic membrane perforations located in the anterior part of the tympanic membrane without residual edges. We grouped these patients based on the surgical methods used. Twenty-six patients in the experimental group were treated with the new method of endoscopic transverse external auditory canal skin flap repair. The control group, consisting of 24 patients, received conventional endoscopic tympanoplasty. We assessed the patients for hearing, postoperative pain, and tympanic membrane healing both before and after the surgery.
Our new method significantly improves the success rate of tympanic membrane repair and hearing levels. The healing rate of tympanic membrane repair in the experimental group was 96.15% (25/26). Patient discharge time, postoperative pain, or recovery time was not affected.
Endoscopic transverse external auditory canal flap nudge repair, as a complement to conventional otoscopic tympanoplasty, should be promoted in clinical practice.
我们开展这项研究以调查一种新的自创鼓膜成形术改良技术的临床效果。这种技术称为外耳道皮瓣推进法，旨在治疗大的鼓膜穿孔，尤其是那些在前缘没有残余边缘的穿孔。
我们选择了30例（50耳）位于鼓膜前部且无前缘残余边缘的大鼓膜穿孔患者。我们根据所采用的手术方法对这些患者进行分组。实验组的26例患者采用内镜下外耳道横形皮瓣修复新方法进行治疗。对照组由24例患者组成，接受传统的内镜鼓膜成形术。我们在手术前后对患者的听力、术后疼痛和鼓膜愈合情况进行了评估。
我们的新方法显著提高了鼓膜修复成功率和听力水平。实验组鼓膜修复的愈合率为96.15%（25/26）。患者出院时间、术后疼痛或恢复时间均未受影响。
内镜下外耳道横形皮瓣推移修复术作为传统耳镜下鼓膜成形术的一种补充方法，应在临床实践中推广。
