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额外的软骨增强环形在myringoplasty中用于亚总穿孔

Zhengcai Lou¹, Zihan Lou², Tian Lv¹

¹Department of Otorhinolaryngology, Yiwu Central Hospital, 699 Jiangdong Road, Yiwu city 322000, Zhejiang province, China.

American journal of otolaryngology

|February 28, 2024

概括

软骨增强底层技术 (CRUT) 和传统软骨底层技术 (TCUT) 在亚总孔穿孔方面显示出类似的移植成功和听力结果. 克鲁特提供了一个更简单的方法,缩短了操作时间和更少的并发症.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
手术创新在外科创新.
中耳外科手术中耳外科

背景情况:

副总的耳膜穿孔往往需要手术修复.
软骨移植是常用的,底层技术是普遍存在的.
对比不同的软骨移植方法对于优化手术结果至关重要.

研究的目的:

为了比较移植成功,听力结果和软骨强化底层技术 (CRUT) 和传统软骨底层技术 (TCUT) 之间的并发症,以修复亚总穿孔.

主要方法:

一项前性随机对照试验,涉及76名患有亚总穿孔的患者.
患者被随机分配到CRUT (n=38) 或TCUT (n=38).
包括移植成功,听力水平 (空气骨间隙) 和并发症在内的结果在12个月后被评估.

主要成果:

无论是CRUT还是TCUT,都实现了高的移植成功率 (分别为94.7%和92.1%,P=0.643),在12个月内没有残留穿孔.
在两组中都观察到显著的听力改善 (空气骨间隙减少),没有显著的群体间差异.
与TCUT相比,CRUT的平均操作时间显著缩短 (32.9分钟与51.8分钟相比;P<0.001),并出现了较少的并发症,如暂时的阴和运河痕.

结论:

软骨增强底层技术 (CRUT) 与传统的软骨底层技术 (TCUT) 相比,是一种更简单和潜在的更有效的方法来修复次整孔.
克鲁特实现了与TCUT相似的移植成功和听力结果,无需提高 tympanomeatal 或去除穿孔边缘.
该技术在减少操作时间和较少的相关并发症方面具有优势.

关键词:

软骨增强剂是一种软骨增强剂.接种成功的成功这是一项神经膜整形手术.底层技术底层技术

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