Effect of double flap tympanic membrane repair with tragus and peri-chondrium under otoscope on large tympanic membrane perforation
10.3969/j.issn.1009-0754.2024.01.017
- VernacularTitle:耳内镜下耳屏软骨膜双瓣鼓膜修补术治疗鼓膜大穿孔的效果
- Author:
Shijun MIAO
1
;
Jianhua SHI
;
Lili HUANG
Author Information
1. 215028 江苏 苏州,上海交通大学医学院苏州九龙医院
- Keywords:
Otoscope;
Microscope;
Tympanic membrane repair;
Large tympanic membrane perforation;
Quality of life
- From:
Journal of Navy Medicine
2024;45(1):86-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical outcomes of double flap tympanic membrane repair with tragus and peri-chondrium under otoscope in the treatment of large tympanic membrane perforation.Methods Eighty patients with large tympanic membrane perforation admitted to Suzhou Kowloon Hospital,Shanghai Jiao Tong University School of Medicine from January 2018 to August 2022 were enrolled and divided into 2 groups by random number table method.Double flap tympanic membrane repair with tragus and peri-chondrium under microscope and otoscope were performed in microscope group and endoscopic group,respectively.The therapeutic effect was compared between the 2 groups.Results The operation time and hospital stay of the endoscopic group were shorter than those of the microscope group([49.02±7.77]min vs.[78.96±9.85]min,[4.89±1.02]d vs.[6.22±1.41]d),and intraoperative blood loss of the endoscopic group was less than that of the microscope group([7.21±2.25]ml vs.[14.55±5.23]ml).There was no significant difference in the incidence of complications between the 2 groups(P>0.05).Compared with preoperative ones,the auditory threshold of air conduction,auditory threshold of bone conduction,air bone gap and tinnitus grade were reduced in both groups 3 months after operation(P<0.05),while the scores of material life,social relationship,physical function and psychological function were increased,and the scores of the endoscopic group were significantly higher than those of the microscope group(P<0.05).There was no significant difference in the healing rate of eardrum 1 month or 3 months after operation between the 2 groups(P>0.05).Conclusion Otoscopic tympanic membrane repair has short operation time,less bleeding and quick postoperative recovery.It can improve hearing,alleviate tinnitus symptoms and improve patients'quality of life.
