Garzón Calles J A
Servicio de ORL, Hospital del Insalud, Soria.
Acta Otorrinolaringol Esp. 1994 Jul-Aug;45(4):243-8.
Two hundred forty-three patients underwent from 1984 to 1989 open (OT) or closed (CT) tympanoplasty and mastoidectomy, generally for cholesteatoma or non-cholesteatomatous chronic suppurant otitis media with some type of destruction of the ossicular chain. The results of the audiometric studies of 8 groups who underwent the same surgical technique using plastipore PORP or TORP, or autologous ossicle or cortical mastoid bone, were compared statistically after 2 years of evolution. Except for one of them, none of groups studied presented statistically significant differences, but the existence of more extrusions with the plastipore caused us to stop using it. The material of choice in our service is the autologous ossicle.
1984年至1989年期间,243例患者接受了开放式(OT)或封闭式(CT)鼓室成形术和乳突切除术,主要针对胆脂瘤或非胆脂瘤性慢性化脓性中耳炎伴某种类型的听骨链破坏。对8组采用塑料多孔聚乙烯人工听骨柱(PORP)或人工听骨管(TORP)、自体听小骨或皮质乳突骨进行相同手术技术的患者,在术后2年进行听力测定研究,并对结果进行统计学比较。除其中一组外,其他研究组均未显示出统计学上的显著差异,但塑料多孔聚乙烯人工听骨出现较多的突出情况,促使我们停止使用它。我们科室选择的材料是自体听小骨。