鼓膜修补术（Tympanic membrane repair）.docVIP

鼓膜修补术（Tympanic membrane repair） All pure tympanic membrane perforation, ossicular chain integrity of conductive deafness, and has the following conditions. All pure tympanic membrane perforation, ossicular chain integrity of conductive deafness, and has the following conditions. 1, dry ear in addition to the tympanic cavity without pus, but also under the microscope to observe whether the tympanic membrane and tympanic mucosa inflammation, whether the eardrum mucosa squamous epithelium invasion. 2, the eustachian tube patency of eustachian tube function examination commonly used methods are: (1) drug instillation with non irritating disinfection solution with tympanoplasty (such as saline or 1% procaine solution), the patients swallow, solution to disappear more quickly in the eustachian tube function better. (2) eustachian catheter blow method. (3) pressure test: a rubber pipe is respectively connected with a sphygmomanometer and olive shaped plug, plug in the olive side before the nose, the other side of the nostrils to finger tight, please be patient bubbling action, when the patient ear is heard the sound, blood pressure is shown in degree the eustachian tube opening pressure, normal degree and 2.66-5.32kpa. The success of /B depends largely on the choice of cases. Surgery should be performed under a microscope, in particular, the possibility of concealed cholesteatoma should be ruled out. In addition to the general surgical instruments, surgical instruments should be provided with an ear microscope, an ear micro surgical instrument, a plexiglass block, and a thin suction tube two. Preoperative preparation of mastoid radiography, electric audiometry, acoustic immittance and listen to the rest of the same simple mastoidotomy. Anesthesia is usually performed under local anesthesia, such as for children and non - partners, with general anesthesia. The surgical procedure is suitable for very small tympanic membrane perforations. (1) the burning method is suitable fo