Short-term efficacy of endoscopic repair of tragal cartilage with perichondrium membrane
- VernacularTitle:耳内镜下耳屏软骨-软骨膜鼓膜修补术后的短期疗效观察
- Author:
Zhongxuan YAO
1
;
Yudi SHAO
;
Chaoqiu XIAO
;
Yanling ZHANG
;
Hao WANG
;
Wei LI
Author Information
- Publication Type:Journal Article
- Keywords: endoscope of ear; perforation of tympanic membrane; repair of tympanic membrane; clinical studies; tragal cartilage with perichondrium membrane
- From: China Journal of Endoscopy 2025;31(6):1-8
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the short-term effect of endoscopic repair of tragal cartilage with perichondrium membrane.Methods 78 patients with tympanic membrane perforation from Sept 2019 to Aug 2022 were retrospectively analyzed.The patients were treated with otoscopic tympanic membrane repair.Postoperative follow-up was performed for 3 months to observe the tympanic membrane morphology and healing of the perforation and to record the patients'endoscopic images,dry ear time,preoperative and postoperative hearing and tinnitus,and the incidence of complications,such as stenosis of the external auditory canal.Results The healing rate of tympanic membrane perforation was 97.44%(76/78)in 78 patients at 3 months postoperatively,with good postoperative healing,significant improvement in mean postoperative air-conducted hearing thresholds compared with the preoperative period,reduction in air-bone gap,and improvement in tinnitus after surgery compared with the preoperative period,the differences were statistically significant(P<0.05).Duration of dry ear was(4.21±1.12)weeks.The postoperative granulation in 5 cases,reperforation in 2 cases,fungal infection in 2 cases,infection of the operative cavity,infection of the ear screen,stenosis of the external auditory canal and scarring of the incision in 1 case each,and none of the patients suffered any serious postoperative complications such as facial nerve palsy and sensorineural deafness.Conclusion Otoscopic tympanic repair of tragal cartilage with perichondrium membrane is a safe and effective surgical method.The postoperative healing pattern and the morphological characteristics of the tympanic membrane and external auditory canal under endoscopy provide a clinical reference for the average middle ear regression and complications after tympanic membrane repair.
