耳屏软骨-软骨膜在鼓室成形及鼓室盾板重建中的应用  

Application of Tragus Cartilage-Perichondrium in Tympanoplasty and Reconstruction of Scutum

作　　者：刘建治[1] 胡晓华[1] 朱宏宇[1] 

机构地区：[1]福建医科大学附属协和医院耳鼻咽喉科,福建福州350001

出　　处：《武汉大学学报（医学版）》2014年第2期216-218,共3页Medical Journal of Wuhan University

摘　　要：目的:探讨耳屏软骨-软骨膜在上鼓室、鼓窦炎症行鼓室成形同期重建鼓室盾板的应用及疗效。方法:选择病变局限于上鼓室、鼓窦中耳炎21耳,完成上鼓室切开及鼓窦开放清除病变,人工钛听骨重建听骨链,并采用塑型的耳屏软骨-软骨膜移植材料修复鼓膜及鼓室盾板,随访分析重建修复及听力的近期和远期疗效。结果:21耳手术修复均一期愈合,上鼓室外侧壁无塌陷,术后听力较术前比较明显提高且长期稳定。结论:耳屏软骨-软骨膜是重建鼓室盾板的理想材料,效果稳定可靠,值得临床应用。Objective. To explore the application and therapeutic effect of tragus cartilage-perichondrium for attic tympanitis with simultaneous reconstruction of scutum. Methods. Twenty-one ears with local lesions confined to the attic and tympanic sinus were underwent operation of atticotomy, tympanic sinus open surgery, and ossicular chain reconstruction with artificial titanium ossicle. Tympanic membrane and scutum was repaired by the use of plastic tragus cartilage-perichondrium graft material. Short- and long-term follow-up analysis of reconstruction and hearing effect was conducted. Results. Twenty-one ears achieved primary healing. After a follow-up interval of 3 months to 3 years, no collapse observed on the atticus lateral wall, and postoperative hearing improved obviously and stably for a long time. Conclusion. As an ideal material, tragus cartilageperichondrium may be worthy of clinical application on the reconstruction of scutum with stable and reliable clinical effects.

关 键 词：软骨 中耳炎 鼓室成形术 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]