Effects of phaseⅠtympanoplasty in active chronic suppurative otitis media with eustachian tube dysfunction
CHEN Renwu1 and CHEN Jingyuan2
1. Department of Otolaryngology,Fujian Provincial Corps Hospital,Chinese People’s Armed police Force,Fuzhou 350003,China; 2. Department of Clinical Medicine, Medical School, Shandong University, Jinan 250012,China
Abstract：Objective To investigate the effect of phase Ⅰtympanoplasty on active chronic suppurative otitis media with Eustachian tube dysfunction. Methods 70 patients with complete data from 87 patients(ears) who suffered from active chronic suppurative otitis media with Eustachian dysfunction were recruited and received the intact canal wall mastoidectomy and phase Ⅰtympanoplasty in this department from June 2008 to October 2013. They were followed up for one year, and their healing rates of the eardrum and hearing restoration were analyzed. Results 68 cases had eardrum healing, with a success rate of 97.14 %(68/70). There was no graft shift, obtuse healing, atrophic eardrums, cholesteatoma formation, sensorineural hearing loss or fungal infections in external auditory canals. The preoperative average hearing level of air conduction was (42.7±4.6)dB, and the average gap between bone conduction and air conduction was (27.5±3.1) dB. The postoperative average hearing level of air conduction was (30.3±5.3)dB, and the average gap between bone conduction and air conduction was (15.1±3.0)dB, which was significantly improved (P<0.01), in which 53 cases with less than 20 dB gap between bone conduction and air conduction, the rate was 77.94%. Conclusions Active chronic suppurative otitis media with Eustachian dysfunction undergoing effective surgery and postoperative treatment can achieve good results and worth popularizing in clinic.
陈仁物,陈靖媛. 慢性活动期化脓性中耳炎咽鼓管功能障碍一期鼓室成形术的效果[J]. 武警医学, 2015, 26(11): 1137-1140.
CHEN Renwu and CHEN Jingyuan. Effects of phaseⅠtympanoplasty in active chronic suppurative otitis media with eustachian tube dysfunction. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(11): 1137-1140.
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Begrow F, Bkenholt C, Ehmen M, et al. Effect of myrtol standardized and other substances on the respiratory tract: ciliary beat frequency and mucociliary clearance as parameters [J]. Adv Ther,2012,29:350-358.
2015, Vol. 26 
