JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (6): 11-15.doi: 10.6040/j.issn.1673-3770.0.2014.160

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Application of anterior wall of external auditory canal ardrum flap for open tympanoplasty in 31 patients

CHEN Ze, ZHONG Zhao-tang, LIANG Min-zhi   

  1. Department of Otorhinolaryngology, Gaozhou People's Hospital, Gaozhou 525200, Guangdong, China
  • Received:2014-05-12 Published:2014-12-16

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Abstract: Objective To investigate the application of anterior wall of external auditory canal-eardrum flap in open tympanoplasty to improve tympanic molding. Methods 66 patients (66 ears) with chronic suppurative otitis media or middle ear cholesteatoma accompanied with self sealing of mesotympanum and hypotympanum underwent open tympanoplasty. 31 cases were applied with anterior wall of external auditory meatus-eardrum flap (Anterior flap group) and 35 cases were treated with cartilage and fascia inner-transplanted method (Cartilage group). Air conduction (AC) and air bone gap (ABG) were performed six months before and after surgery. The clinical effect of the two groups were Compared. Results The success rates were 96.8%(30/31) and 88.6%(31/35) in anterior flap group and cartilage group respectively (P>0.05), while the effective rates were 88.46% and 65.52% correspondingly in the two groups (P<0.05). Conclusion For the patients with chronic suppurative otitis media accompanied with sealing of mesotympanum and hypotympanum, anterior wall of external auditory canal eardrum flap in open tympanoplasty can improve fascia survival and reduce perforation rate of tympanic membrane, with satisfying tympanic molding, simultaneous auditory rehabilitation, hearing improvement and good clinical effect.

Key words: Suppuratiove otitis media, Cholesteatoma, Mastoidectomy, Tympanoplasty, Sealing of tympanum

CLC Number: 

  • R764.92
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