Learning Objectives: Otitis media is the most common otology diseases, with the development of imaging and ear microsurgery, the close type - keep plane wall of mastoid tympanic cavity forming or open - removal of the external auditory canal mastoid lesions cleared a parallel tympanic cavity forming period tympanoplasty, eventually reach function reconstruction, restore hearing. We have between January 2011 and January 2011, 120 cases of surgical observation data integrity is comming back reports as follows.
1 data and methods
1.1 clinical data
Group, 120 cases of patients, aged 15 to 71 years old, the average age of 34, 73 cases of male, female 47 cases, 68 cases of simple type chronic otitis media and cholesteatoma otitis media 52 cases.
1.2 operation method
The closed type - keep plane wall of mastoid tympanoplasty 102 cases, many options open mastoid area lesion - removed concha mastoid tympanoplasty 18 cases, add apare keratoplasty, small tympanic cavity forming technique.
2 the results
This group of patients after 1 year to 3 years back, the close type - keep plane wall of mastoid tympanoplasty 102 cases, hearing had no obvious change in 62 cases (51%); , people with hearing improve 13 cases (11%), apparent decline in hearing in 2 cases, accounting for 1%. Hearing a reformer, 41 cases hearing improve 29 cases, accounted for 70.73%, hearing no change of 12 cases, accounted for 29.26%, open - removed concha mastoid tympanoplasty 18 cases, hearing had no obvious changes in 4 cases (22.2%); The improvement in 1 case, 5.6%, the hearing in 13 cases, accounting for 72.2%.
3 discuss
Decided to operation method, according to the scope of the lesions in patients with closed type - keep plane wall of mastoid tympanic cavity forming and open - removed concha mastoid tympanic cavity forming each have advantages and disadvantages. Don't repeat here.
Again is eustachian tube dysfunction, eustachian tube and middle ear cavity infection causal, intraoperative careful cleaning lesions, strengthening postoperative follow-up, curative effect is exact middle ear surgery.
