Fascia and cartilage palisade tympanoplasty. Nine years' experience.
Fascia and cartilage palisade tympanoplasty. Nine years' experience.
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筋膜和软骨栅鼓室成形术。
DOI：
10.1001/archotol.1970.00770040334004
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发表时间：
1970
影响因子：
--
通讯作者：
E. Kopstein
中科院分区：
文献类型：
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作者：
J. Heermann;H. Heermann;E. Kopstein
即使 iVEN 拥有最好的技术，在鼓室成形术中使用几块独立的耳后皮肤（Wullstein，Heermann 和 Heermann 1 引用）作为移植物，鼓膜也很少能在不穿孔的情况下愈合。同样重要的是，这种移植的皮肤有明显的持续脱皮的趋势，随后迫使患者反复寻求医疗护理。尽管仅使用耳道皮肤（Plester，Heermann 和 Heermann 1 引用）进行鼓室成形术时不会出现这种脱屑，但这会在耳道上皮中留下缺陷，进而导致术后护理困难，有时还会导致顽固性狭窄。此外，虽然移植的皮肤需要仔细放置，并且在很大程度上取决于直接血管化，但筋膜和软骨可以仅靠血浆长时间生长2，并且无论如何放置，都可以在任何所需位置愈合。我们于 1958 年首次使用颞肌筋膜
EVEN iVEN with the best of techniques, in tympanoplasties in which several separate pieces of retroauricular skin (Wullstein, cited in Heermann and Heermann 1 ) are used as grafts, seldom does the tympanum heal without a perforation. And equally important, such transplanted skin has a marked tendency toward constant desquamation, later forcing the patients to seek repeated medical attention. Although such desquamation is not seen when only canal skin (Plester, cited in Heermann and Heermann 1 ) is used for the tympanoplasty, this leaves a defect in the epithelium of the auditory canal which in turn leads to difficult postoperative care and, at times, to obstinate stenosis. Moreover, while transplanted skin requires careful placement and depends largely on direct vascularization, fascia and cartilage can thrive for a long time on plasma alone 2 and can heal in any desired position, no matter how placed. We first used temporalis fascia in 1958 to