中华耳科学杂志
中華耳科學雜誌
중화이과학잡지
CHINESE JOURNAL OF OTOLOGY
2009年
1期
49-50
,共2页
鼓膜穿孔%鼓膜修补术
鼓膜穿孔%鼓膜脩補術
고막천공%고막수보술
Tympanum membrane perforation%Myringoplasty
目的 探讨用自制刮匙刮除鼓膜穿孔缘鳞状上皮行内植法鼓膜修补术的临床效果.方法 共对386例(398耳)用自制的鼓膜内层上皮刮匙刮除鼓膜穿孔缘残留鳞状上皮或掀起耳道深部皮肤,取颞肌筋膜行内植法鼓膜修补术.结果经2年以上随访,11耳再度穿,387耳穿孔修补成功.术后1至3个月纯音测听示听力改善率达97.2%.结论 用自制刮匙刮除鼓膜穿孔缘残留鳞状上皮行内植法鼓膜修补术效果满意.
目的 探討用自製颳匙颳除鼓膜穿孔緣鱗狀上皮行內植法鼓膜脩補術的臨床效果.方法 共對386例(398耳)用自製的鼓膜內層上皮颳匙颳除鼓膜穿孔緣殘留鱗狀上皮或掀起耳道深部皮膚,取顳肌觔膜行內植法鼓膜脩補術.結果經2年以上隨訪,11耳再度穿,387耳穿孔脩補成功.術後1至3箇月純音測聽示聽力改善率達97.2%.結論 用自製颳匙颳除鼓膜穿孔緣殘留鱗狀上皮行內植法鼓膜脩補術效果滿意.
목적 탐토용자제괄시괄제고막천공연린상상피행내식법고막수보술적림상효과.방법 공대386례(398이)용자제적고막내층상피괄시괄제고막천공연잔류린상상피혹흔기이도심부피부,취섭기근막행내식법고막수보술.결과경2년이상수방,11이재도천,387이천공수보성공.술후1지3개월순음측은시은력개선솔체97.2%.결론 용자제괄시괄제고막천공연잔류린상상피행내식법고막수보술효과만의.
Objective To report utility of a custom-made curette in myringoplasty procedures. Methods A custom-made curette designed by the authors was used in 386 cases(398 ears) of myringoplasty procedures to strip epithelial layer from perforation rims or to elevate skin flaps near the annulus fibrosus to prepare for repair of perforated tympanic membranes using the underlay technique with fascia tissue from the temporalis. Results At 2 year follow up, perforation recurred in only 11 ears. Hearing improvement was recorded in 97.2% of the ears when tested at 1 to 3 months following the procedure. Condlusion The curette facilitates recipient site preparation in myringoplasty procedures.
