Mitchell R B, Pereira K D, Lazar R H
Le Bonheur Childrens Medical Center, Memphis 38105, Tennessee, USA.
J Laryngol Otol. 1997 Feb;111(2):106-8. doi: 10.1017/s002221510013659x.
The surgical closure of dry tympanic membrane perforations in children remains a controversial issue due to conflicting opinions on the appropriate technique, graft material and success rate. We present a review of 342 children who underwent fat graft myringoplasty as a day-stay procedure over a six-year period. Successful closure of the tympanic membrane perforation was achieved in 92 per cent of ears. Subsequent recurrent otitis media with effusion required insertion of ventilation tubes in 12 per cent. No relationship was observed between the age of the child and a successful outcome. We conclude that day-stay fat graft myringoplasty is a safe and successful procedure which results in a dry and safe ear in the majority of children.
由于在合适的技术、移植材料和成功率方面存在相互矛盾的观点，儿童干性鼓膜穿孔的手术封闭仍然是一个有争议的问题。我们回顾了342例在六年期间接受脂肪移植鼓膜成形术作为日间手术的儿童。92%的耳朵成功封闭了鼓膜穿孔。随后，12%的患儿因复发性分泌性中耳炎需要插入通气管。未观察到患儿年龄与手术成功结果之间存在关联。我们得出结论，日间脂肪移植鼓膜成形术是一种安全且成功的手术，能使大多数儿童的耳朵保持干燥且安全。
