Brandow E C
Arch Otolaryngol. 1976 Aug;102(8):473-7. doi: 10.1001/archotol.1976.00780130067007.
During a six-year period, homograft tympanic membranes have been used successfully for myringoplasty or tympanoplasty in 85% of 175 cases. This percentage is not as high as might be expected with fascia, and the homografts have not been as dependable in the wet, draining ear. However, the results do show that the homograft is an acceptable grafting material. The eardrums are not suggested as substitutes for fascia, but should be available for difficult cases. Their use is indicated in large or total defects to restore the natural anatomical conical shape of the eardrum, particularly in congenital atresia. The prime indication for their use is a missing malleus, and the malleus handle can be included within the transplant. The eardrum's rigid properties and the possibility of inclusion of ossicles make the homografts valuable in reconstruction of the old mastoid cavity.
在六年时间里，同种异体鼓膜成功用于175例鼓膜成形术或鼓室成形术，成功率达85%。这个百分比不像使用筋膜时预期的那么高，并且同种异体移植物在潮湿、有引流的耳朵中也不那么可靠。然而，结果确实表明同种异体移植物是一种可接受的移植材料。不建议将鼓膜用作筋膜的替代品，但在困难病例中应可使用。它们适用于大的或完全的缺损，以恢复鼓膜自然的解剖学圆锥形状，特别是在先天性闭锁的情况下。其主要适用指征是锤骨缺失，并且锤骨柄可包含在移植物内。鼓膜的刚性特性以及包含听小骨的可能性使得同种异体移植物在旧乳突腔的重建中很有价值。
