JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (2): 15-16.doi: 10.6040/j.issn.1673-3770.0.2014.331

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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

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

CLC Number: 

  • R764.92
[1] 黄选兆, 汪吉宝, 孔维佳, 等.实用耳鼻咽喉头颈外科学[M].2版.北京:人民卫生出版社, 2008:888-890.
[2] 宋纪军, 刘宏建. 不同术式及材料鼓膜成形术的疗效观察[J]. 听力学及言语疾病杂志, 2013, 21(3):287-288. SONG Jijun, LIU Hongjian. Efficacy of different surgical procedures and materials on myringoplasty[J]. J Audiol Speech Pathol, 2013, 21(3):287-288.
[3] 付发祥,毛俊文. 鼓膜成型术术式及修复材料的选择[J].西南军医, 2011, 13(2):300-302. FU Faxiang, MAO Junwen. Surgical procedures and repair materials of myringoplasty[J]. J Mili Surg Southwest Chin, 2011, 13(2):300-302.
[4] 何青峰. 鼓膜上皮层皮瓣法鼓膜成形术[J].中国眼耳鼻喉科杂志, 2011, 11(4):228-229, 233. HE Qingfeng. Myringoplasty with epithelial flap of tympanic membrane[J]. Chin Ophthalmol Otorhinolaryngol, 2011, 11(4):228-229, 233.
[5] 孙安, 高卓平, 赵大庆, 等. 自体脂肪组织即时修补外伤性鼓膜穿孔的实验研究[J]. 听力学及言语疾病杂志, 2008, 16(5):409-411. SUN An, GAO Zhuoping, ZHAO Daqing, et al. The study on the healing of the tympanic membranes perforation with self-fat tissues[J]. J Audiol Speech Pathol, 2008, 16(5):409-411.
[6] 王武庆, 王正敏, 田洁. 鼓膜外伤性穿孔自然修复的实验研究[J]. 中华耳鼻咽喉头颈外科杂志, 2004, 39(10):602-605. WANG Wuqing, WANG Zhengmin, TIAN Jie. Spontaneous healing of various types of rat tympanic membrane perforation[J]. Chin J Otorhinolarynol Head Neck Surg, 2004, 39(10):602-605.
[7] 楼正才, 胡云星, 张艳慧, 等. 创伤性鼓膜穿孔不同修复方式的临床观察[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(1):20-22. LOU Zhengcai, HU Yunxing, ZHANG Yanhui, et al. Evaluation of influencing factors and different repair mechanism of tympanic membrane perforations[J]. Clin J Otorhinolarynol Head Neck Surg, 2011, 25(1):20-22.
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