CAJ | 학술논문

目的：探讨鼓膜上皮皮瓣推移法修补边缘性鼓膜穿孔的疗效及优点。方法选择边缘性鼓膜穿孔患者27例，切除鼓膜穿孔边缘上皮环，沿穿孔边缘分离鼓膜上皮层与纤维层，向穿孔中心推移鼓膜上皮层，使穿孔闭合，必要时做鼓膜上皮减张切口。结果一次性鼓膜穿孔修补成功26例，愈合率96．3％，随访3～6个月。结论鼓膜上皮皮瓣推移法修补边缘性鼓膜穿孔，手术简单，创伤微小，疗效可靠。
목적：탐토고막상피피판추이법수보변연성고막천공적료효급우점。방법선택변연성고막천공환자27례，절제고막천공변연상피배，연천공변연분리고막상피층여섬유층，향천공중심추이고막상피층，사천공폐합，필요시주고막상피감장절구。결과일차성고막천공수보성공26례，유합솔96．3％，수방3～6개월。결론고막상피피판추이법수보변연성고막천공，수술간단，창상미소，료효가고。
Objective To investigate the therapeutic effects of advance flap to repair marginal perforation of tympanic membrane.Methods Twenty-seven ears with marginal perforations of tympanic membrane were enrolled.The epithe-lial ring,from the edge of perforation,was removed.Then,the epithelial and underneath fibrous layer were separated and the former was advanced to the center to close the perforation.Results 26 cases of tympanic membranes perfora-tions were completely repaired.The healing rate was 96.3% during 3-6 months follow-up.Conclusion Advance flap is effective in repairing marginal perforation of tympanic membrane.