颞浅筋膜瓣用于乳突填塞及外耳道重建远期疗效观察  

Long-term Observation of Application of Superficial Temporal Fascial Flap to Mastoidotympanectomy and Reconstruction of External Ear Canal

作　　者：徐志勇[1] 冀丽梅[1] 魏芳芳[1] 海占兵[1] 郝建海[1] 张俊瑶[1] 

机构地区：[1]中国人民解放军第251医院耳鼻咽喉科,河北张家口075000

出　　处：《河北北方学院学报（自然科学版）》2017年第8期24-26,共3页Journal of Hebei North University:Natural Science Edition

摘　　要：目的探讨颞浅筋膜瓣在乳突根治术填塞术腔及重建外耳道中的应用效果。方法慢性中耳炎患者39例,采用颞部皮肤竖切口制作颞浅筋膜瓣,用以填塞乳突术腔并与外耳道皮瓣共建外耳道,观察临床效果。结果术后耳内创面明显缩小,术后干耳时间为3~4周。25例随访2~5年,外耳道形态、大小与术前相似,鼓室无炎性渗出或上皮堆积,未发生乳突炎。结论颞浅筋膜瓣可以用于乳突术腔填塞并协助外耳道成形,保护颞浅血管和乳突轮廓化是手术成功的关键。Objective To explore the clinical effect of application of superficial temporal fascial flap to tympanomastoidectomy and reconstruction of external ear canal.Methods 39 patients with chronic otitis media underwent tympanomastoi-dectomy.Superficial temporal fascial flap was used to tamponade mastoid cavity and reconstruct external ear canal with auricular concha-meatal flap,and the clinical effect was observed.Results Follow-up was performed in 25 patients for 2-5 years.Endaural wound surface reduced obviously after operation with 3-4 weeks＇ ear drying.External ear canal regained its preoperative size.Epithelium accumulation or mastoiditis did not happen.Conclusion The superficial temporal fascial flap could be used to tamponade mastoid cavity and reconstruct ear canal wall simultaneously in tympanomastoidectomy.Mastoid outlinization and protection of superficial temporal vessels were the key point for a successful operation.

关 键 词：中耳炎 鼓室乳突切除术 颞浅筋膜瓣 外耳道重建 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]