THE TOTAL RECONSTRUCTION OF THE TYMPANIC MEMBRANE BY THE CROWNCORK TECHNIQUE

被引：17

作者：

HARTWEIN, J ^{[1
]}

LEUWER, RM ^{[1
]}

KEHRL, W ^{[1
]}

机构：

[1] UNIV HAMBURG,HOSP EPPENDORF,DEPT OTORHINOLARYNGOL HEAD & NECK SURG,W-2000 HAMBURG 13,GERMANY

来源：

AMERICAN JOURNAL OF OTOLARYNGOLOGY | 1992年 / 13卷 / 03期

关键词：

D O I：

10.1016/0196-0709(92)90118-D

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Purpose: The "crowncork tympanoplasty" is a technique for the total reconstruction of the tympanic membrane. It is recommended in cases of ear malformation, blunting phenomena, and total deficiency of the membrane caused by chronic otitis media. Patients and Methods: The records of 12 patients undergoing "crowncork tympanoplasty" were reviewed. This includes 5 patients who were operated on because of middle ear malformation, 6 cases with a blunting phenomena following prior tympanoplasty, and 1 patient with chronic otitis media. Results: In each case an intact tympanic membrane was achieved. The air bone was reduced to 17, 19, 16, and 11 dB in the frequency 500, 1,000, 2,000, and 4,000 Hz. Conclusion: The use of cartilage for tympanoplasty has been useful despite the comparatively worse vibration characteristics of the rigid material. Total reconstruction of selected problem cases using this "crowncork technique" has resulted in good healing with favorable hearing results and should be incorporated into the routine of the skilled otosurgeon. © 1992.

引用

页码：172 / 175

页数：4

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