Surgical management of retraction pockets of the pars tensa with cartilage and perichondrial grafts
Surgical management of retraction pockets of the pars tensa with cartilage and perichondrial grafts
复制标题
DOI：
10.1017/s0022215106001708
复制
发表时间：
2006-09-01
影响因子：
1.7
通讯作者：
Mills, R.
中科院分区：
文献类型：
--
作者：
Spielmann, P.;Mills, R.
张力部稳定的、自洁的回缩囊是常见的偶然发现，不需要治疗。在其他情况下，发生复发性放电，也可能有相关的传导性听力损失。在少数情况下，中耳炎可能development.This本文介绍了手术的结果，使用的移植物组成的软骨和软骨膜的回缩袋涉及后半部分的鼓膜，以及早期的结果，使用一个更大的移植物，旨在管理整个鼓膜回缩。本文提供了51例后路牵开囊袋患者的数据。42例（82%）患者术后一年无耳分泌物，43例（84%）鼓膜未回缩。在4名患者中使用了较大的“Mercedes-Benz”移植物，获得的结果表明，它可能被证明是一种成功的广泛回缩囊袋技术。
Stable, self-cleansing retraction pockets of the pars tensa are common incidental findings and require no treatment. In other cases, recurrent discharge occurs and there may also be associated conductive hearing loss. In a minority of cases, cholesteatoma may develop.This paper presents the results of surgery using a graft composed of cartilage and perichondrium for retraction pockets involving the posterior half of the tympanic membrane, as well as early results using a larger graft designed to manage retraction of the entire tympanic membrane. Data on 51 patients with posterior retraction pockets are presented. Forty-two (82 per cent) patients had no aural discharge one year following surgery and the tympanic membrane was not retracted in 43 (84 per cent). The larger 'Mercedes-Benz' graft was used in four patients and the results obtained suggested that it may prove a successful technique for extensive retraction pockets.