Plus open radical mastoidectomy tympanoplastya type of treatment of otitis media efficacy.doc

 PAGE \* MERGEFORMAT 13 Plus open radical mastoidectomy tympanoplastya type of treatment of otitis media efficacy Of: Ping Liren, Wang Mengdong, Gujian Sen, Sun Baobin [Abstract] Objective: To investigate the tympanoplasty in chronic suppurative otitis media and otitis media with cholesteatoma and efficacy of the method, in particular how to form effective vibration, conduction of sound middle ear cavity gas. Methods: 61 patients (63 ears) with chronic suppurative otitis media or cholesteatoma otitis media underwent open radical mastoidectomy plus a type of tympanoplasty, surgery using mastoid cortical bone and muscle filling part of the mastoid cavity periosteal flap. which, A group (20 ears) did not fix Outdoor wall and on the drum after the wall of the external auditory canal, tympanic membrane repair fascia directly attached on the surface of neural crest; B group (24 ears), filling the attic, posterior canal wall reconstruction after the repair section of the tympanic membrane; C group (19 ear) not filling the attic, posterior canal wall reconstruction segment, with cartilage repair piece drum outdoor wall after the repair on the tympanic membrane. Results: The 2-year follow-up time, the total dry ear rate of 90.48% (57/63), A, B , C 3 groups dry ear was no significant difference (Pgt; 0.05). after A, B, C 3 to reduce the value of air-bone group were (13.5 + -1.87) dB, (19.79 + -2.13) dB and (22.63 + -2.04) dB, A group of air-bone reduction was significantly lower than B group and C group (P lt;0.01), B group and C group no significant difference (Pgt; 0.05). Conclusion: Chronic suppurative otitis media and implementation of cholesteatoma otitis media plus open radical mastoidectomy tympanoplasty a type of lesion can be completely removed to obtain satisfactory hearing reconstruction. The correct selection of surgical indications, the formation of the posterior wall of external auditory canal and the location of the right tympanic membrane - the re