摘要
目的:探讨应用耳廓软骨修补鼓膜并同时进行外耳道后壁重建的疗效。方法:对43耳慢性化脓性中耳炎患者,于彻底清除病灶后用耳廓软骨行鼓膜修补,同时进行外耳道后壁重建。结果:43耳中,3耳失败,40耳一期愈合。与同期未进行外耳道后壁重建,只进行鼓室成形的病例相比,外耳道后壁重建者的干耳时间比未重建者短;复发率差异无显著性意义。两组术后均有较好的听力。结论:应用耳廓软骨同时修补鼓膜并重建外耳道后壁,是一种较好的治疗慢性化脓性中耳炎的方法,不仅能缩短干耳时间,改善听力,而且免除了二次手术,明显改善了患者的生活质量。
Objective;To study the reconstruction technique of tympanic membrane and posterior wall of external ear canal with auricular cartilage at same time. Method;The tympanic memberane and posterior wall of external ear canal of 43 cases of chronic vsuppurative otitis media were reconstructed with auricular cartilage after mastoidec-tomy between 1995~2000. The results were compared with that of without reconstruction of the posterior wall of external canal group of 60 ears in same period. Result; The average follow-up period was 32 months. 3 cases were faied in all of 43 cases, the others were healed in one stage. Postoperative period to be a dry ear was significantly shorter in the reconstruction group than in the canal-wall-down and open group (t-test, t =3. 98,<0. 01). The re-zidive results is statistic not signifikant between this two groups. The patients of both groups have had good hear-ingresults. Conclusion;Theauricular cartilage is a good material for the reconstruction of tympanic membrane and posterior wall of the external auditory canal. It can not only reduce the time of drying ear,improve the hearing results, but also avoid the second operation. The quality of the patients life can be improved.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2003年第4期215-216,共2页
Journal of Clinical Otorhinolaryngology
关键词
耳廓软骨
鼓室成形术
外耳道后壁重建
Cartilarge
Tympanoplasty
Reconstractiori
Posterior wall of external canal
