摘要
目的探讨全翻内植法鼓膜成形术的方法及疗效。方法采用耳后径路,自体颞筋膜作移植材料,对60例鼓膜穿孔病人进行全翻外耳道后壁及残余鼓膜皮瓣内侧植颞筋膜封闭穿孔进行鼓膜成形术,并进行回顾性分析。结果术后3-6个月复查,新鼓膜Ⅰ期愈合55例,56例术后听力均不同程度提高,随访6个月至2年,新鼓膜长期愈合率95%(57/60)。结论本术式具有视野开阔、清晰、取材方便、不受穿孔面积及位置关系影响,穿孔闭合及听力提高率高,具有一定的临床应用价值。
Objective To evaluate methods and effects of myringoplasty, Methods Myringoplasty was perfomed in 60 patients using honaogenous temporal fascia as graft. During operation, the posterior wall of external auditory canal and residual part of tympanic membrane were turnovered, the transplanting temporal fascia was put under the valve and the perforation was sealed. Results 56 of all cases （93.3 % ） got a first stage healing and 2 got second stage healing, Audition of all patients got improved after operation with well growth of new typainc membrane. Conclusion The advantages of this operation are clear operation field, oonvenient obtaining of transplanting graft regardless of the area and size of the perforation, and effective improvement of hearing. This method is more effective than traditional method in healing perforation and improving audition. Therefore it deserves extensive use,
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2006年第2期138-139,共2页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
鼓膜成形术
鼓膜穿孔
Tympanic membrane perforation
Myringoplasty
