Clinical analysis of 59 cases of myringoplasty with sandwich method under otoendoscope
10.16066/j.1672-7002.2024.07.005
- VernacularTitle:耳内镜下夹层法鼓膜成形术59例临床疗效分析
- Author:
Juying KE
1
;
Shasha ZHANG
Author Information
1. 浙江省三门县人民医院耳鼻咽喉科,浙江 三门 317100
- Keywords:
Tympanic Membrane Perforation;
Myringoplasty;
otologic endoscopy
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(7):431-434
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the efficacy of otoscope assisted dissection myringoplasty.METHODS Fifty-nine patients with otitis media suppurative admitted from January 2019 to August 2022 were underwent otoscope assisted dissection myringoplasty.Tympanic membrane healing,hearing improvement,and complications were observed.RESULTS The total perforation healing rate was 98.3%(58/59).One case had obtuse angle healing at the anterior lower part of the tympanic membrane,and one case had local cholesteatoma beads on the tympanic membrane.The preoperative average speech frequency air conduction hearing threshold was(40.2±7.9)dB HL,and postoperative one year was(22.5±8.3)dB HL,with statistically significant differences(t=11.31,P<0.01);The preoperative average speech frequency and bone conduction was(26.3±6.1)dB HL,and postoperative one year was(12.8±5.7)dB HL,with statistically significant differences(t=9.54,P<0.01).CONCLUTION The mezzanine tympanoplasty under otoscopy owning the advantages of both otoscopy and mezzanine methods,have the outcomes of minimal damage,high healing rate,and postoperative hearing improvement.It is an ideal tympanoplasty for repairing perforation of tympanic membrane.
