The advance of materials for preventing adhesion in tympanoplasty
10.3760/cma.j.issn.1673-0860.2019.07.015
- VernacularTitle: 鼓室成形术中预防鼓室粘连植入材料的研究进展
- Author:
Xingmei WEI
1
;
Guodong FENG
1
;
Zhiqiang GAO
1
Author Information
1. Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
- Publication Type:Review
- Keywords:
Tympanoplasty;
Tissue adhesions;
Silica gel
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(7):550-553
- CountryChina
- Language:Chinese
-
Abstract:
For otitis media patients with severe mucosal lesions, adhesion is the most common poor prognosis of tympanoplasty. We generally consider tympanic cavity adhesion is due to eustachian tube dysfunction and poor middle ear ventilation. The mechanism of adhesion is unclear so far, which we thought is mainly associated with wounded surface and activation of the fibrinolytic system. To solve the problem of adhesion, several materials have been used in the middle ear surgery, such as plastic sheet, silicone sheet and absorbable material. And there are some benefits. The most widely used is silicone sheet, and there are some researches focused on its thickness, shape and components to achieve better anti-adhesion effect. In this article, we will do a review for the research advances of anti-adhesion materials in tympanoplasty.
