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Long-term results of type I tympanoplasty with perichondrium reinforced cartilage palisade vs temporalis fascia for large perforations:A retrospective study

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Journal of Otology 2021年第1期16卷 12-17页

作者： Dipesh Shakya Ajit Nepal Department of Otorhinolaryngology Civil Service HospitalMinbhawanKathmanduNepal Department of Otorhinolaryngology Patan Academy of Health SciencesSchool of MedicineLagankhelLalitpurNepal

Objective:To compare the rate of graft uptake and postoperative hearing outcomes of Type I tympanoplasty with perichondrium reinforced cartilage palisade to temporalis fascia for large tympanic membrane(TM)perforations over 5 years follow-up *** and methods:This was a retrospective comparative study involving patients with chronic otitis media with large TM *** patients underwent type I tympanoplasty using either perichondrium reinforced cartilage palisade(CP group)or temporalis fascia(TF group)as the graft via a transmeatal approach and under local *** and functional results were recorded at three-and five years *** profiles including age and sex,surgery side,contralateral disease and graft uptake rate,as well as hearing outcomes,were compared between the two ***:At three years follow-up,graft uptake was 94.87%for perichondrium reinforced cartilage palisade and 80.7%for fascia,respectively,(p¼0.67).At five years follow-up,the uptake rate dropped to 87.17%in the CP group,but to 66.6%in the TF group(p¼0.019).Hearing improved after surgery in both groups,and showed no significant difference between the two ***:Over long-term,perichondrium reinforced palisade showed a statistically significant better outcome regarding graft uptake than temporalis fascia in type Itympanoplasty for large TM perforations with comparable audiometric results.

关键词： Tympanoplasty Large perforation temporalis fascia Cartilage palisade Perichondrium

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En bloc resection for treatment of refractory pre-auricular fistula

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Journal of Otology 2015年第4期10卷 163-166页

作者： Jing Fei Di Zhang Xiao-qiang Sun Chong Zhao Gang Qin Yue-hua Liu Lin Zhu Lei-ji Li Department of Otorhinolaryngology Head and Neck Surgery Affiliated Hospital of Luzhou Medical College

Objective:To report a surgical method for the treatment of pre-auricular fistula to lower post-operative recurrence rate. Methods:Clinical data of 187 patients with pre-auricular fistula who underwent en bloc resection at the Affiliated Hospital of Luzhou Medical College from August 2006 to November 2012 were retrospectively reviewed. Factors that might affect the prognosis following En bloc fistula resection bordered by the superficial temporalis fascia, helix perichondrium and auriculocephalic sulcus were investigated. Results: Of the 187 patients, 181 achieved primary healing and 6 ended up with delayed healing. During the follow-up period (one to seven years), there were 4 cases of recurrence (2.1%). Conclusions:Clear demarcation of surgical resection can facilitate easy and thorough resection of preauricular fistula and lead to low recurrence rate. Proper timing and careful search for potential fistula branches are the two crucial factors affecting prognosis. Copyright ? 2016, PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license (http://***/licenses/by-nc-nd/4.0/).

关键词： Pre-auricular fistula temporalis fascia Helix perichondrium Surgery Infection

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