Sheehy J L, Anderson R G
Ann Otol Rhinol Laryngol. 1980 Jul-Aug;89(4 Pt 1):331-4. doi: 10.1177/000348948008900407.
We reviewed the records of 472 patients who had undergone myringoplasty during an 11-year period at the Otologic Medical Group. There was a statistically significant relationship between the size of the perforation and the degree of hearing impairment, but no relationship between the degree of impairment and the complaint of tinnitus. The majority of operations were performed using the lateral surface fascia grafting technique. Those 168 operations performed postauricularly were successful in closing the tympanic membrane perforation in over 97% of the cases and in reducing the conductive deficit to 10 dB or less in 88%. There were no total sensorineural impairments, although 3% of the patients developed a high tone sensorineural impairment. Blunting in the anterior sulcus and lateral healing of the graft were very uncommon. Canal skin was used as a graft in 16% of the patients. The graft take results and hearing results were less favorable than with fascia.
我们回顾了耳科医疗集团11年间472例接受鼓膜成形术患者的记录。穿孔大小与听力损害程度之间存在统计学上的显著关系，但损害程度与耳鸣主诉之间无相关性。大多数手术采用外侧筋膜移植技术。168例耳后手术在超过97%的病例中成功封闭鼓膜穿孔，88%的病例中传导性听力损失降低至10dB或更低。尽管3%的患者出现了高频感音神经性听力损失，但未出现完全性感音神经性损害。前沟变钝和移植物外侧愈合非常少见。16%的患者使用耳道皮肤作为移植物。与使用筋膜相比，移植物成活结果和听力结果较差。
