Experience in overlay tympanoplasty
10.3760/cma.j.issn.1673-0860.2009.05.006
- VernacularTitle:筋膜外植法鼓室成形术的手术体会
- Author:
Ben-Gang PENG
1
;
Xu-Tao MIAO
;
Xin WANG
;
Yi-Qing SUN
;
Zhi-Ying LIU
;
Yong-Xin LI
Author Information
1. 北京大学第四临床医学院(北京积水潭医院)
- Keywords:
Tympanoplasty;
Otitis media,suppurative;
Cholesteatoma,middle ear;
Audiometry,pure-tone
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2009;44(5):369-372
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the experience and value of overlay tympanoplasty. Methods Sixty-three ears with overlay tympanoplasty were reviewed and followed up for the external auditory canal, tympanic membrane and hearing. Results The diseases of the patients included middle ear cholesteatoma in 25 ears and chronic suppurative otitis media in 38 ears. The surgical techniques involved three kinds: overlay tympanoplasty, overlay tympanoplasty with canal wall up mastoidectomy and overlay tympanoplasty with canal wall down mastoidectomy. In middle ear cholesteatoma and suppurative otitis media patients, the case received the three techniques are 4, 17, 4 ears and 19, 18, 1 ears respectively. All patients gained stage Ⅰ incision cure. Followed up for 0.5 to 3.5 years respectively, the external auditory canal was wide and tympanic membrane gained a good shape. The hearing in all case kept intact or increased while hearing decrease did not occur. Complications were free in patients with punctual visit. Conclusions Overlay tympanoplasty has positive significance in treating the chronic otitis media with the merits of standard procedure, sufficient operative field and thorough erosion elimination.
