Endoscopic inlay cartilage and perichondrium myringoplasty for repairing large perforations in teenagers

被引:2
作者
Lou, Zhengcai [1 ]
Jin, Kangfeng [1 ]
Sun, Junzhi [1 ]
机构
[1] Yiwu Cent Hosp, Dept Otorhinolaryngol, 699 Jiangdong Rd, Yiwu City 322000, Zhejiang, Peoples R China
关键词
Endoscope; Cartilage graft; Myringoplasty; Over-underlay technique; Reperforation; TYMPANIC MEMBRANE PERFORATIONS; TYMPANOPLASTY; ANTERIOR; FASCIA; GRAFT; OUTCOMES;
D O I
10.1016/j.ijporl.2021.110915
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: This study compared the long-term graft success rates and hearing outcomes of overlay-underlay and underly cartilage myringoplasty for repairing large perforations in Teenagers. Study design: prospective, randomized study. Setting: Tertiary referral center. Methods: Pediatric patients older than 12 years with chronic perforations were randomly divided into two groups: intervention group (n = 39) and control group (n = 41). The graft success rate, hearing improvement, and complications were compared between the two groups. Results: A total of 80 patients were included in this study. The graft success rate was 100% in the intervention group and 95.1% in the control group at postoperative 3 months, the difference wasn't significant (P = 0.496). Also, the graft success rate was not significantly different between the two groups at 12 months postoperatively (100.0% vs 87.8%, p = 0.073). However, the difference of graft success rate was significant between the two groups at 24 months postoperatively (97.4% vs 75.6%, p = 0.012). CT examination revealed well-pneumatized middle ears 24 months after surgery in both group. However, epithelial pearls near the umbo were seen at 31 months postoperatively in one patient in the observation group. Conclusions: Compared to the endoscopic cartilage with perichondrium composite graft underlay technique, endoscopic perichondrial graft overlay and cartilage underlay had a better long-term graft success rate and lower rate of long-term re-perforation in teenagers. However, the graft technique had no effect on hearing outcome.
引用
收藏
页数:7
相关论文
共 50 条
[41]   Comparison of long-term outcome of two endoscopic transtympanic myringoplasty without tympanomeatal flap elevating for repairing large chronic perforations [J].
Zhengcai Lou ;
Zihan Lou ;
Kangfeng Jin ;
Junzhi Sun ;
Zhengnong Chen .
European Archives of Oto-Rhino-Laryngology, 2022, 279 :2293-2301
[42]   Endoscopic transtympanic myringoplasty should be cautious for repairing large perforation [J].
Zhengcai Lou .
European Archives of Oto-Rhino-Laryngology, 2020, 277 :3533-3534
[43]   Full-thickness cartilage graft myringoplasty combined with topical application of bFGF for repair of perforations with extensive epithelialization [J].
Lou, Zhengcai .
AURIS NASUS LARYNX, 2021, 48 (04) :601-608
[44]   The Effect of External Auditory Canal Packing Duration on Healing After Endoscopic Cartilage Myringoplasty [J].
Lou, Zhengcai .
ENT-EAR NOSE & THROAT JOURNAL, 2021, 100 (09) :656-661
[45]   Split-Thickness Cartilage Graft Combined With Perichondrium for Endoscopic Repair of Total and Subtotal Drum Perforations [J].
Abdelghany, Ahmed Mohammed ;
Gadulhaq, Hossam Abdelhay .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2025, 172 (03) :974-981
[46]   Endoscopic full-thickness cartilage-perichondrium double graft myringoplasty in adhesive perforation: retrospective case series [J].
Lou, Zhengcai .
ACTA OTO-LARYNGOLOGICA, 2021, 141 (01) :14-18
[47]   Endoscopic butterfly cartilage myringoplasty [J].
Ozgur, Abdulkadir ;
Dursun, Engin ;
Terzi, Suat ;
Erdivanli, Ozlem Celebi ;
Coskun, Zerrin Ozergin ;
Ogurlu, Mahmut ;
Demirci, Munir .
ACTA OTO-LARYNGOLOGICA, 2016, 136 (02) :144-148
[48]   Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations [J].
Lou, Zheng-cai .
JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2020, 49 (01)
[49]   Endoscopic myringoplasty: comparison of double layer cartilage-perichondrium graft and single fascia grafting [J].
Zheng cai Lou .
Journal of Otolaryngology - Head & Neck Surgery, 49
[50]   Short-term Subjective and Objective Outcomes of Patients Receiving Endoscopic Transcanal Myringoplasty for Repairing Tympanic Perforations [J].
Tseng, Chih-Chieh ;
Lai, Ming-Tang ;
Wu, Chia-Che ;
Yuan, Sheng-Po ;
Ding, Yi-Fang .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2018, 158 (02) :337-342