Abstract: ObjectiveTo investigate the effect of myringoplasty with tragus cartilage perichondrium under the otoendoscope and microscope in the treatment of tympanic membrane perforation.Methods142 patients with tympanic perforation received the myringoplasty with tragus cartilage perichondrium in our department from May 2015 to January 2016 were divided into two groups, with 71 cases for each: The endoscope group was performed the tympanic membrane repairing under otoendoscope, while the microscope group was performed the same procedure under microscope. The effect was compared between the two groups.ResultsThe operative time was shorter and the intraoperative blood loss was less in the endoscope group than those in the microscope group, and the differences were statistically (P<0.05). There was no statistical difference in tympanic membrane repair rate and reperforation rate at the time of 1 month, 3 to 6 months and 1 to 2 years after the surgery between the two groups (P>0.05). Both the average air conduction threshold and the air bone guide distance was decreased in 1 month and 3 months after the surgery than those before the surgery in both groups, and the difference was statistically significant (P<0.05). There was no statistical difference in the average air conduction threshold and the air bone guide distance in 1 month and 3 months after the operation between the two groups (P>0.05). After 1 years of followup, there were no tympanic membrane atrophy, tympanic adhesion and graft displacement.ConclusionEndoscopic myringoplasty with tragus cartilage perichondrium can achieve the same clinical effect as well as the microscopy, but it has shorter operation time and milder trauma, and is worthy of clinical popularization.
吴照红. 耳内窥镜与耳科显微镜下耳屏软骨-软骨膜鼓膜修补术治疗鼓膜穿孔[J]. 中国现代手术学杂志, 2018, 22(3): 217-221.
WU Zhaohong. Endoscopic VS Microscopic Myringoplasty with Tragus Cartilage Perichondrium for Tympanic Perforation. Chinese Journal of Modern Operative Surgery, 2018, 22(3): 217-221.
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2018, Vol. 22 
