生物凝胶辅助空气悬浮技术在耳内镜鼓膜修补术中的应用

Application of biological gel-assisted air suspension techniquein tympanic membrane repair under otoendoscopy

目的 介绍一种简易的利用生物凝胶辅助空气悬浮技术耳内镜下鼓膜修补的手术方式,并观察手术效果。方法 选择2023年2月—6月在南京明基医院就诊的鼓膜穿孔患者24例(25耳),其中男13例,女11例;年龄(42.3±10.1)岁。行耳内镜下生物凝胶辅助空气悬浮技术修补鼓膜。术中利用内植法植入耳屏软骨膜,鼓室内外不填塞,术后第3天、第6天及第2、4、8、12周门诊随访,行耳内镜检查。结果 24例(25耳)患者平均每耳手术时间(34.2±10.5)min, 2耳术后3 d漏气,1例术后3周感染,均进行积极处理,无耳闷、出血、过敏等并发症,随访时间1~3个月,穿孔鼓膜均愈合良好。结论 生物凝胶辅助空气悬浮技术修补鼓膜简便、微创、快速,术后无耳闷,为唯一听力耳手术提供了一种新选择,同时方便双耳同时手术、局麻手术及无法配合术后换药的儿童手术。

Objective To introduce a surgical method repairing tympanic membrane with biological gel-assisted air suspension technology,and observe the eardrum healing process.Methods Patients diagnosed tympanic membrane perforation in Nanjing Benq hospital from February to June in 2023 were enrolled in this study.There were 24 cases(25 ears)of patients,including 13 males and 11 females,aged(42.3±10.1)years old.Biological gel-assisted air suspension technology were used to repairing tympanic membrane.Otologic endoscopy examination were used 3 days,6 days,2,4,8 and 12 weeks after operation.Results The operation time of the case was(34.2±10.5)minutes.Perforations were found in 2 ears 3 days after operation,there was infection in one case 3 weeks after operation,There were no bleeding,ear stuffy and allergy.All of the tympanic membranes healed well in the following up.Conclusions Biological gel-assisted air suspension technology is a simple,minimally invasive method for tympanic membrane repairing.It provides a new option for the the only hearing ear and convenience for simultaneous surgery of two sides,local anesthesia surgery and children who cannot coordinate with postoperative management.