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摘要: 目的:观察耳屏软骨-软骨膜在鼓室成形术中的应用。方法:回顾性分析38例鼓室成形术行耳屏软骨-软骨膜修补鼓膜患者的临床资料,比较术前、术后2个月的语频听力气骨导差和鼓膜恢复情况。结果:成功随访的31例患者于术后1~3个月移植鼓膜成活,鼓膜外观恢复正常;术后平均气骨导差(0.5、1.0、2.0、4.0 kHz)缩小大于18 dB;耳屏外观正常。结论:耳屏软骨-软骨膜重建鼓膜是鼓室成形术可行的治疗方法,成活率高,患者术后听力提高理想。Abstract: Objective: To observe the application of the tragus cartilage in tympanoplasty.Method: Thirty-eight patients with tympanoplasty carried out tragus cartilage-perichondrium repairing tympanic membrane. The air-bone gap changes and the recovery of patients'tympanic membrane were evaluated at pre-operative and two months after the operation.Result: Thirty-one patients finishing follow-up visit showed tympanic membrane healed and looked like normal appearance in 1 to 3 months after the operation. The postoperation narrow of the air-bone gap >18 dB, tragus looked normal.Conclusion: Tympanic membrane reconstruction using the tragus cartilage-perichondrium is feasible for tympanoplasty, and the survival rate and postoperative hearing would be acceptable.
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Key words:
- cartilage /
- tympanoplasty
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