Eavey R D
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston 02114, USA.
Laryngoscope. 1998 May;108(5):657-61. doi: 10.1097/00005537-199805000-00006.
For closure of a nonmarginal tympanic membrane perforation, currently popular techniques utilize either an underlay or an onlay approach. However, both procedures require incising canal skin. A transcanal inlay procedure could provide theoretical advantages of ease, speed, and comfort. Specifically designed cartilage that could facilitate the transcanal approach similar to placement of a solid tube was employed and evaluated. A transcanal cartilage butterfly inlay technique was found to be efficient and effective to close a subgroup of small-to-medium-sized tympanic membrane perforations including cases in which the condition of the tympanic membrane was somewhat hostile. Postoperative patient comfort was an additional benefit.
对于非边缘性鼓膜穿孔的封闭，目前流行的技术采用衬里法或覆盖法。然而，这两种方法都需要切开外耳道皮肤。经耳道镶嵌法在操作简便性、速度和舒适性方面具有理论优势。我们采用并评估了一种专门设计的软骨，它有助于采用类似于放置实心耳管的经耳道方法。结果发现，经耳道软骨蝶形镶嵌技术对于封闭中小尺寸鼓膜穿孔的一个亚组是有效且高效的，包括鼓膜状况有些不利的病例。术后患者的舒适度是额外的益处。
