Autologous fat transplantation in the repair of the tympanic membrane Experience_0.docVIP

 PAGE \* MERGEFORMAT 7 Autologous fat transplantation in the repair of the tympanic membrane Experience Of: Tianhong Xu, Xiong Hong whole, Luozhao Yi, Liu Hong, Yang Xiaoqi, Wu Bo [Keywords:] Endoscopy, eardrum repair, fat transplantation Used in autologous fat transplantation tympanic membrane perforation, the clinical study that is based upon the traditional method more practical and effective method. We selected 27 cases of tympanic membrane perforation cases, the use of autologous fat tissue, using the embedded approach for repair of tympanic membrane After tracking more than one year after follow-up, the results were satisfactory. are as follows. 1 Materials and Methods 1.1 Clinical data selected 27 patients with tympanic membrane perforation, aged 8 to 67 years, average 34.9 years old. Among them, seven cases of traumatic perforation of tympanic membrane, perforation of 18 cases of chronic simple otitis media, secretory otitis media Tympanotomy 2 patients. All patients course aregt; March, after conservative treatment fails, drum drying, perforated area of #8203;#8203; 1 / 3 the tympanic membrane area. preoperative pure tone audiometry air-bone gap was 7 ~ 35Db, the average 17.6Db. 1.2 General surgical skin preparation before surgery, anesthesia, children, adults under local anesthesia, routine disinfection of shop towels, ear using 0 rigid endoscope (Storz, then graphic surveillance system, the external auditory canal approach, complete the following steps: ( 1) the external auditory canal preparation: Assistant or the suture pulling ear to eliminate ear canal curvature, repeated sterilization, coating layer depths of antibiotic ointment on the surface of the external auditory canal. (2) preparation of graft bed: The hook needle, such as perforated crocodile grasping forceps edge of the fresh wound, blunt needle probe to the extent the resilience of the tympanic membrane, measuring the size of perforation. (3) taking graft: in surgery