应用自体耳屏复合软骨-软骨膜鼓室成形术

Autogenous Tragus Complex Cartilage-Perichondrium Membrane Used on Tympanoplasty

叶青;周桂芬;刘贵;于增臣;徐有民;潘德才;梁彬;王雪松

1:吉林石油集团有限责任公司江南职工医院耳鼻咽喉科!松原

2:138006

3:吉林石油集团有限责任公司江南职工医院耳鼻咽喉科!松原

4:138006

摘要
目的为探讨胆脂瘤及骨疡型中耳炎应用自体复合耳屏软骨-软骨膜鼓室成形术的治疗效果。方法应用自体耳屏复合软骨──软骨膜鼓室成形和耳后反“Z”字形改形法带蒂肌皮瓣填塞乳突腔治疗胆脂瘤及骨病型中耳炎37耳,对其临床资料进行回顾性分析。结果示气骨导间距缩小0~10dBHL12耳,11~20dB14耳,21~30dB7耳,31dB以上4耳;显示大多数病例听力有明显改善。结论此种方法是一种较好的手术方法。
关键词
自体耳屏;软骨-软骨膜;鼓室成形术
基金项目(Foundation):
作者
叶青;周桂芬;刘贵;于增臣;徐有民;潘德才;梁彬;王雪松
参考文献

1姜泗长,阎承先,主编.现代耳鼻咽喉科学.天津:天津科技出版社,1994.11~12.

2Chilla R,Schroder M.Recurrences and hearing functionfollowing surgical removal of middle ear cholesteatomas withor without preservation of the posterior auditory canal wall.HNO.1980,28:1.

3Heumann H.Cholesteatoma in childhood surgical treatmentand results,Laryngol-Rhinol-Otol(Stuttgart),1987, 66:21.

4Jahnke K.Khatib M,Ran U.Long term results followingcholesteatoma surgery.Laryngol-Rhinol-Otol(Stuttgart),1985, 64:238.

5Smyth GDL.Canal wall for cholesteatoma up or down longterm results.Am J Otol.1985,6:1.

6Levinson RM.Cartilage-perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pocket.Laryngolscope.1987, 97:1069.