鼓室成形术的失败原因探讨

THE CAUSE OF 65 FAILURES IN TYMPANOPLASTY

回顾分析了1971～1988年施行鼓室成形术65耳的失败教训。失败原因包括,咽鼓管功能障碍、鼓膜继发穿孔、穿孔愈合、听力未提高、前下方钝角愈合不良、中耳炎性病变排异反应、面神经损伤、内耳损害等八个方面。文中还对某些失败原因提出了防治措施。

From 1971 through 1988, tympanoplasty was performed on 260 ears, but later the result Proved to be failure in 65 ears, with a failure rate at 25%. According to Wullstein, the tympanoplasty performed included.Type 1,168 ears; Type II,22 ears; Type III, 60 ears;Type IV, 6 ears and Type V, 4 ears. The causes of failure in the 65 ears are classified into 8 categories.1. dysfunction of the Eustachian tube ( 20 ) , 2. reperforation of the tympanic membrane ( 15 ) , 3. closure of the tympanic membrane perforation without hearing improvement (6), 4. poor take of the graft at the anteroinferior blunt angle (8), 5. otits media (8), 6. graft rejection ( 4 ), 7. facial nerve trauma ( 2 ) , 8. inner ear damage ( 2 ) .