小儿耳鼻喉科鼓膜缺损的自体软骨鼓室成形术:临床效果和听力改善

A.Z. Bekpan, D.K. Autalipov, O. Tolegen, Z.S. Tobylbayeva
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摘要

伴有持续性鼓膜穿孔的慢性中耳炎仍是小儿耳科的一个难题。目的研究鼓膜完全缺损和次完全缺损儿童自体软骨鼓室成形术的效果。方法和材料:18名患者(年龄范围:3-15岁)接受了耳后入路手术治疗。鼓膜重建采用从耳后和颞筋膜处采集的软骨移植。手术结果术后评估显示,88.8%的病例成功恢复了鼓膜的完整性,94.4%的病例在长期随访中听力得到改善。自体软骨鼓室成形术有望提高小儿耳鼻喉科鼓室成形术的疗效。
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Auto Cartilaginous Tympanoplasty for Tympanic Membrane Defects in Pediatric Otorhinolaryngology: Clinical Outcomes and Hearing Improvement
Chronic otitis media with persistent tympanic membrane perforation remains a challenging issue in pediatric otology. Objective: To examine the outcomes of autocartilaginous tympanoplasty in children with total and subtotal tympanic membrane defects. Methods and materials: Eighteen patients (age range: 3-15 years) underwent surgical treatment using the retroauricular approach. A cartilage graft harvested from the tragus and temporal fascia was utilized for tympanic membrane reconstruction. Results: Postoperative evaluations revealed successful restoration of tympanic membrane integrity in 88.8% of cases and hearing improvement in 94.4% of cases in the long-term follow-up. Auto Cartilaginous tympanoplasty demonstrates promise for enhancing the efficacy of tympanoplasty in pediatric otorhinolaryngology.
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