Gersdorff M, Fourneau A F
Acta Otorhinolaryngol Belg. 1980;34(3):318-24.
The authors describe the tolerance of Plasti-Pore prosthetic ossicles in reconstructive surgery of the middle ear. Tolerance is excellent where cartilage is interposed between the prosthesis and the tympanic graft (0% failure). Without such insertion of cartilage, the authors note a protrusion by the prosthesis with tympanic perforation in 19.3% of cases, except in those where the tympanic graft is a homograft (0% failure). In the case of a tympanic graft using temporal aponeurosis it is therefore advisable to interpose a fragment of cartilage. This insertion of cartilage does not appear necessary in the case of a tympanic homograft.
作者描述了中耳重建手术中Plasti - Pore人工听小骨的耐受性。在假体与鼓膜移植物之间插入软骨的情况下,耐受性极佳(失败率为0%)。作者指出,如果不进行这种软骨插入,除了鼓膜移植物为同种异体移植物的情况(失败率为0%)外,19.3%的病例中假体会出现鼓膜穿孔并突出。因此,在使用颞肌筋膜进行鼓膜移植的情况下,建议插入一片软骨。对于鼓膜同种异体移植,似乎没有必要插入软骨。