Clinical efficacy of micro-tympanoplastic operation with osteo retention on treating cholesteatomatous otitismedis
10.3760/cma.j.issn.1001-2036.2010.04.011
- VernacularTitle:保留部分骨桥的鼓室显微成形术治疗胆脂瘤型中耳炎的临床效果
- Author:
Feng YU
;
Huicheng GONG
;
Haoliang ZHANG
;
Guojie TAN
;
Yuzhang HUANG
- Publication Type:Journal Article
- Keywords:
Cholesteatoma;
Tympanoplasty;
Intact-bridge;
Otitismedis;
Otomicrosurgical operation
- From:
Chinese Journal of Microsurgery
2010;33(4):290-292
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss with micro-tympanoplastic operation with osteo retention on treating cholesteatomatous otitismedis. Methods Choose 33 cases cholesteatomatous otitis medis patients who toke the tympanoplastic with osteo retention operation,then analyze the postulate and method of the operation, curative effect and complication after operation. Results Follow up with those patients by 12-72 months, and when 3-4 months after operation we endoscopiced the ears, could see that 43 cases of patients ear mastoid process and tympanic sinus were covered with epithelium, those mastoid cavity were well epithelial metaplasia;and the middle ear was separate from mastoid cavity; 39 cases patient of transplant eardrums are heal up (39/43, 90.7%). 2 cases have perforation of the tympanic membrane toke place after 4 months and 6 months with the operation, and it will heal up by anti-inflammatory drug and laser burning, 1 case had tympanic sinus hyperplasia with granulation tissue, and also had grassery juice; after taken anti-inflammatory drug and change bandage for 15 weeks, the symptom disappear. 1 case had grassery juice of operation cavity, after taking anti-inflammatory drug and physiotherapy, the symptom disappear in 24 weeks. After operation the pure tone audiometry shows that air conduction raise (16.8±6.8) dB HL, hearing raise up to:79.1%(34/43). Conclusion Base on right indication of operation choose, taken combined therapy of ambi-operation period, focus of infection are thoroughly cleaning up. Tympanoplastic with osteo retention are treating well with patients of cholesteatomatous otitismedis.
