鼓膜成形术：嵌体和衬底技术的比较

IF 1.4 Q2 OTORHINOLARYNGOLOGY

Journal of Otology Pub Date : 2024-04-01 DOI:10.1016/j.joto.2024.04.004

Hisashi Sugimoto, Akiko Tamori, Miyako Hatano, Hiroki Hasegawa, Tomokazu Yoshizaki

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引用次数: 0

摘要

目的耳膜成形术旨在改善听力和预防耳漏，使移植物吸收率和听力成为关键考虑因素。本研究分析了移植物摄取不成功和听力改善的相关因素，以指导鼓膜成形术的最佳手术入路的选择。方法对56例慢性中耳炎患者进行回顾性分析。所有患者在鼓膜闭合手术后随访6个月。我们比较了经鼻入路的衬底法和耳后入路的嵌体法对慢性中耳炎患者的鼓膜成形术。采用衬底法和嵌体法分别为23耳和33耳。主要结果是移植物吸收率和听力改善。此外，鼓膜穿孔的位置、患者年龄和乳突发育程度等因素也被评估。结果采用经鼻道底垫法修复前下象限穿孔，穿孔率高。衬底和嵌体方法都能显著改善听力。然而，嵌体法的成功率较低。在使用嵌体方法的病例中，老年群体的结果往往较差。与乳突发育相关的手术成功率无显著差异。结论耳后入路嵌体修复前下象限穿孔是一种较好的选择。然而，当使用嵌体方法时，老年患者的听力改善率较低。

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Myringoplasty: A comparison of inlay and underlay techniques

Purpose

Myringoplasty aims to improve hearing and prevent otorrhea, making graft uptake rates and hearing crucial considerations. This study analyzed the factors associated with unsuccessful graft uptake and hearing improvement to guide the selection of optimal surgical approaches for myringoplasty.

Methods

We retrospectively reviewed 56 ears with chronic otitis media. All patients were followed up for >6 months after tympanic membrane closure surgery. We compared the underlay method using the transcanal approach with the inlay method using the retroauricular approach for myringoplasty in patients with chronic otitis media. The underlay and inlay methods were used for 23 and 33 ears, respectively. The primary outcomes were graft uptake rate and hearing improvement. Additionally, factors such as the location of tympanic membrane perforation, patient age, and the degree of mastoid development were evaluated.

Results

The perforation rate was high when the transcanal underlay method was employed to repair perforations in the anterior inferior quadrant. Both the underlay and inlay methods significantly improved hearing. However, the success rate of the inlay method was lower. Within the cases performed using the inlay method, outcomes tended to be poorer in older age groups. There were no significant differences in surgical success rates related to mastoid development.

Conclusion

The inlay method using the retroauricular approach is a favorable option for repairing perforations involving the anterior inferior quadrant. However, older patients presented lower rates of hearing improvement when the inlay method was used.

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来源期刊

Journal of Otology Medicine-Otorhinolaryngology

CiteScore

2.70

自引率

0.00%

发文量

461

审稿时长

18 days

期刊介绍： Journal of Otology is an open access, peer-reviewed journal that publishes research findings from disciplines related to both clinical and basic science aspects of auditory and vestibular system and diseases of the ear. This journal welcomes submissions describing original experimental research that may improve our understanding of the mechanisms underlying problems of basic or clinical significance and treatment of patients with disorders of the auditory and vestibular systems. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines. Journal of Otology welcomes contributions from scholars in all countries and regions across the world.