Durko T, Latkowski B
Katedry i Kliniki Otolaryngologii AM w Lodzi.
Otolaryngol Pol. 1997;51 Suppl 25:274-7.
The clinical analysis of the patients after tympanic membrane reconstruction with the temporal muscle fascia has been conducted. The total number of 145 patients, operated at the Otosurgery Department Medical University of Lodz, was divided into 2 Groups. Group 1 (n = 75) patients with chronic otitis media (central perforation and mobile ossicular chain). The preoperative mean conductive hearing deficit of 20 dB was observed in all evaluated patients. After surgery a satisfactory hearing improvement was observed in 90% of the patients. Group 2 (n = 70) patients with the reconstructed postero-superior part of the tympanic membrance and if necessary external auditory canal wall reconstruction. The mean conductive hearing deficit of up to 30 dB was observed before the surgery. Postoperatively in 75% of patients the hearing improvement was observed as well as the satisfactory healing of fascia implant. The postoperative evaluation indicates a better hearing improvement after the myringoplasties with the prefascial lamina than in the myringoplasties performed in the traditional ways.
已对采用颞肌筋膜进行鼓膜重建术后的患者进行了临床分析。在罗兹医科大学耳外科接受手术的145例患者被分为2组。第1组（n = 75）为慢性中耳炎患者（中央穿孔且听骨链活动）。所有评估患者术前平均传导性听力损失为20分贝。术后90%的患者听力得到满意改善。第2组（n = 70）为鼓膜后上部重建患者，必要时进行外耳道壁重建。术前平均传导性听力损失高达30分贝。术后75%的患者听力得到改善，筋膜植入物愈合良好。术后评估表明，采用筋膜前层进行鼓膜成形术比传统方式进行的鼓膜成形术听力改善效果更好。
