Repairment using ear endoscope for small perforation of tympanic membrane after traditional tympanoplasty
10.3760/cma.j.issn.1008-6706.2015.16.028
- VernacularTitle:耳内镜下鼓室成形术后鼓膜中小穿孔再修补42例临床分析
- Author:
Zhimeng HU
;
Daqing ZHONG
;
Jianding ZOU
- Publication Type:Journal Article
- Keywords:
Post -tympanoplasty;
Tympanic membrane perforation;
Ear endoscope;
Reoperation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(16):2488-2490
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of repairment using ear endoscope for small perfo-ration of the tympanic membrane after traditional tympanoplasty.Methods A retrospective analysis of 42 cases of repairment using ear endoscope for small perforation of the tympanic membrane after traditional tympanoplasty was investigated.Adipose tablet of earlobe to repair small perforation or perichondrium of hircus for medium perforation was used.Results The success rate after one repairment of small perforation was 82.76%(24 /29).The success rate for medium perforation was 61.54%(8 /13).9 cases received the repairment for 2 times or even more to heal the tym-panic membrane.The mean improvement of air conduct at language frequency was 20.03dB by 6 months after the successful operations (t =1.98,P <0.05)and air bone guide.The mean difference between the air conduct and bone conduct decreased as much as 19.82dB (t =1.86,P <0.05)with statistical significance.Conclusion The success rate was high to repair the perforation using ear endoscope after traditional tympanoplasty.The hearing was improved obviously and the patients were very compliant.
