接着法を用いた鼓膜形成術の成績と工夫 Results and devices of simple myringoplasty with fibrin glue
In Kansai Medical University Hospital, simple myringoplasty with fibrin glue using subcutaneous connective tissue grafts or conchal perichondrium with cartilage composite grafts was performed in 255 ears from January 1995 to December 2003, and 162 of these ears were observed for more than six months.<BR>The success rate was 80.4% in the subcutaneous connective tissue graft group and 76.4% in the conchal perichondrium with cartilage composite graft group. A few eardrums in the connective tissue graft group suffered perforation again within six months postoperatively. Compared with the rate of closure with subcutaneous connective tissue grafting, the rate with perichondrium with cartilage composite grafting group was higher at one year postoperatively. Twelve ears unsuccessfully ears treated with simple myringoplasty with fibrin glue using subcutaneous connective tissue grafts were operated on for eardrum perforations with conchal perichondrium with cartilage composite grafts. After the second operation, the overall closure rate was 91.7%. Our findings suggest that use of perichondrium with cartilage composite graft is advantageous for second operation or perforation of the eardrum.
- Otology Japan
Otology Japan 16(2), 81-86, 2006-05-25
THE JAPAN OTOLOGICAL SOCIETY