A multi-center clinical retrospective study on the therapeutic effect of endoscopic myringoplasty
10.3760/cma.j.issn.1673-0860.2019.04.002
- VernacularTitle: 耳内镜下鼓膜成形术临床疗效分析的多中心回顾性研究
- Author:
Jin ZHANG
1
;
Zhaoyan WANG
2
;
Qiong YANG
3
;
Haidi YANG
4
;
Yu ZHAO
5
;
Youjun YU
6
;
Yang CHEN
7
;
Wei WANG
8
;
Wen ZHANG
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Shaanxi Provincial People′s Hospital, Xi′an 710068, China
2. Department of Otorhinolaryngology Head and Neck Surgery, Nineth People′s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China
3. Department of Otorhinolaryngology Head and Neck Surgery, Shenzhen Sixth People′s Hospital(Nanshan Hospital), Shenzhen 518052, China
4. Department of Otorhinolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China
5. Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
6. Department of Otorhinolaryngology Head and Neck Surgery, the First People′s Hospital of Foshan, Foshan 528000, China
7. Department of Otorhinolaryngology Head and Neck Surgery, Xijing Hospital, Airforce Military Medical University, Xi′an 710032, China
8. Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Tianjin 300192, China
- Publication Type:Journal Article
- Keywords:
Endoscopic ear surgery;
Tympanic membrane perforation;
Myringoplasty;
Multicenter studies;
Cartilage
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(4):245-250
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the therapeutic effect of endoscopic myringoplasty.
Methods:A retrospective analysis of 523 patients with chronic otitis media who underwent endoscopic myringoplasty between June 2016 and June 2017 in eight tertiary hospitals in China. Among all the patients, 256 were male and 267 were female, aged from 18 to 68 years old. The grafts used to repair the tympanic membrane were all tragus cartilage-perichondrium complex. All patients were followed up at 1 month, 3 months, 6 months, 9 months, and 12 months after surgery, at least 3 months. The closure rate of tympanic membrane perforation by different factors, the hearing results, and the incidence of postoperative complications were analyzed. SPSS 21.0 software was used to analyze the data.
Results:Three months after operation, the closure rates of anterior, inferior, posterior and subtotal perforation were 92.4% (109/118), 94.9% (93/98), 95.6% (129/135), and 89.0% (153/172) respectively, the difference was not statistically significant (χ2=5.779, P=0.123). The closure rates of small, medium and large perforations were 100.0% (82/82), 93.7% (178/190) and 89.2% (224/251) respectively. The difference was statistically significant (χ2=10.927, P=0.004). The closure rates of dry ear and wet ear tympanic membrane perforation were 93.1% (392/421), 90.2% (92/102), the difference was not statistically significant (χ2=1.011, P=0.915). The preoperative pure tone audiometry(PTA) was (38.4±5.3) dBHL, while, the 3-month postoperative PTA was (25.1±5.7) dBHL. The difference was statistically significant (t=39.079, P<0.001). The preoperative air bone gap (ABG) was (22.4±4.3) dB, while 3 months postoperative ABG was (9.1±3.8) dB. The difference was statistically significant (t=53.004, P<0.001). Of all 523 patients, 14 (2.7%) had middle ear infection, 8 (1.5%) had dislocated tympanic membrane, 12 (2.3%) had parageusia, 35 (6.7%) had tinnitus, 28 (5.4%) had hearing loss, 26 (5.0%) had vertigo,33 (6.3%) had reperforation, 2 (0.4%) had secondary cholesteatoma, and none had facioplegia.
Conclusions:Endoscopic myringoplasty is a safe and effective surgical method with good postoperative outcome.
