Eardrum thickening approach for the treatment of patulous Eustachian tube
Eardrum thickening approach for the treatment of patulous Eustachian tube
复制标题
鼓膜增厚入路治疗咽鼓管扩张
DOI：
10.1007/s00405-016-4022-5
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发表时间：
2016
影响因子：
2.6
通讯作者：
Zhigang Zhang
中科院分区：
文献类型：
--
作者：
Y. Si;Yubin Chen;Peng Li;Huaili Jiang;Guo Xu;Z. Li;Zhigang Zhang
本研究旨在探索通过软骨鼓膜成形术进行耳膜增厚的方法，以停止耳咽管扩张（PET）的症状，包括自鸣、耳胀和呼吸同步性耳鸣。共纳入12例符合PET诊断标准的患者，并在术前进行鼓膜修补试验。然后，在全身麻醉下用同侧全层耳屏软骨进行鼓膜成形术。所有患者术后随访至少6个月。在修补试验期间和术后1个月，所有患者在深呼吸下鼓膜的大体运动消失，症状缓解。所有患者术后随访时间从6个月到5年不等，表现出持续满意的症状停止。PET症状可能是由声学传输系统的总体向外移动引起的。鼓膜增厚的方法，通过鼓膜成形术与全层耳屏软骨可以是一个可行的选择PET与永久满意的控制症状。此外，术前斑贴试验可能是预测手术结果的有效方法。
This study aims to explore the eardrum thickening approach via cartilage myringoplasty for the cessation of symptoms of patulous Eustachian tube (PET), including autophony, aural fullness and breathing synchronous tinnitus. A total of 12 patients who met the diagnosis criteria of PET were included and given an eardrum patching test preoperatively. Then, myringoplasty with ipsilateral full-thickness tragus cartilage under general anesthesia was performed. All patients were followed up for at least 6 months postoperatively. Gross movements of the eardrum under deep respiration disappeared and symptoms were relieved in all patients during the patching test and at 1 month after surgery. All patients were followed up for a length that varied from 6 months to 5 years postoperatively, which demonstrated sustained satisfactory symptom cessation. PET symptoms may have been possibly caused by the gross outward movements of the acoustic transmission system. The eardrum thickening approach via myringoplasty with full-thickness tragus cartilage can be an accessible choice for PET with permanent satisfactory control of symptoms. Furthermore, the preoperative patching test could be a valid way to predict the outcome of the surgery.