山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (2): 15-16.doi: 10.6040/j.issn.1673-3770.0.2014.331

• 论著 • 上一篇    下一篇

鼓膜上皮皮瓣推移法修补边缘性鼓膜穿孔27例

王戬, 葛前进, 康利萍   

  1. 中国人民解放军第150中心医院耳鼻喉科, 河南 洛阳 471000
  • 收稿日期:2014-10-03 出版日期:2015-04-16 发布日期:2015-04-16
  • 作者简介:王戬。E-mail:tiandb@163.com

Advance flap in repairing marginal perforation of tympanic membrane in 27 cases

WANG Jian, GE Qian-jin, KANG Li-ping   

  1. Department of Otolaryngology, Chinese PLA No.150 Central Hospital, Luoyang 471000, Henan, China
  • Received:2014-10-03 Online:2015-04-16 Published:2015-04-16

摘要: 目的 探讨鼓膜上皮皮瓣推移法修补边缘性鼓膜穿孔的疗效及优点。方法 选择边缘性鼓膜穿孔患者27例, 切除鼓膜穿孔边缘上皮环, 沿穿孔边缘分离鼓膜上皮层与纤维层, 向穿孔中心推移鼓膜上皮层, 使穿孔闭合, 必要时做鼓膜上皮减张切口。结果 一次性鼓膜穿孔修补成功26例, 愈合率96.3%, 随访3~6个月。结论 鼓膜上皮皮瓣推移法修补边缘性鼓膜穿孔, 手术简单, 创伤微小, 疗效可靠。

关键词: 鼓膜穿孔, 鼓膜修补, 鼓室成形

Abstract: Objective To investigate the therapeutic effects of advance flap to repair marginal perforation of tympanic membrane. Methods Twenty-seven ears with marginal perforations of tympanic membrane were enrolled. The epithelial ring, from the edge of perforation, was removed. Then, the epithelial and underneath fibrous layer were separated and the former was advanced to the center to close the perforation. Results 26 cases of tympanic membrane's perforations were completely repaired. The healing rate was 96.3% during 3-6 months follow-up. Conclusion Advance flap is effective in repairing marginal perforation of tympanic membrane.

Key words: Tympanoplasty, Myringoplasty, Tympanic membrane perforation

中图分类号: 

  • R764.92
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