Homquist J, Bergström B
Scand Audiol. 1977;6(2):87-9. doi: 10.3109/01050397709045003.
Myringoplasty results in patients with poor tubal function and small cell systems are often disappointing, to both patient and surgeon. Surgical procedures to improve tubal function have been introduced but they all have the disadvantage of being rather elaborate and difficult to perform. The mastoid air cell system on the other hand does not offer the same problems of access. With the concept of creating an air-filled cavity in connection with the middle ear, mastoidectomy was performed in myringoplasty cases with poor tubal function and small (less than 9 cm2 lateral area) cell systems. Preliminary results show a healing rate of 82% in patients managed according to these principles, against 50% in corresponding cases when myringoplasty alone was done.
对于咽鼓管功能不良和乳突气房系统较小的患者，鼓膜成形术的效果往往令患者和外科医生都感到失望。虽然已经引入了改善咽鼓管功能的外科手术，但这些手术都存在操作复杂、难度较大的缺点。另一方面，乳突气房系统不存在类似的进入问题。基于在中耳建立一个与充满空气的腔隙相关的概念，对咽鼓管功能不良且气房系统较小（外侧面积小于9平方厘米）的鼓膜成形术患者实施了乳突切除术。初步结果显示，按照这些原则治疗的患者愈合率为82%，而单纯进行鼓膜成形术的相应病例愈合率为50%。
