中华医学会上海分会耳鼻咽喉科学会于1983年3月3日召开了鼓膜修补术专题讨论会。参加会议的有本市耳鼻咽喉科工作者及少数外省市的代表共200余人。会议由上海第二医学院附属第三人民医院何永照教授主持,会后由上海第一医学院眼耳鼻喉科医院吴学愚教授作了总结发言。与会者就鼓膜修补术的适应证、修补材料、手术方法、疗效估价和手术并发症等问题展开了热烈的讨论。一、适应证:关于干耳的时间不必过于强调,有时鼓室稍湿也可手术。术前贴片试验只要骨气导差距能缩小到25dB以下,即适合做单纯鼓膜修补。年龄较小的儿童一般宜缓行手术。对术前咽鼓管功能检查尚无一定标准,有以捏鼻鼓气法作判断,但正常时此法也可不通;有用中耳滴入苦味药,观其有无流入咽部,以判断阻塞与否。中耳粘膜如鳞状上皮化、疤痕化等,虽增加手术困难,但非禁忌。骨导好坏仅预示术后听力程度,对适应证无影响,因修复鼓膜尚有防止中耳炎发作的作用。有的认为对侧耳聋者,不论术耳听骨链情况如何,均应尽量作单纯鼓膜修补;也有认为这类病人非但不宜行鼓室成形术,即使单纯鼓膜修补也有发生 Chinese Medical Association Shanghai Branch Otorhinolaryngology Society on March 3, 1983 held a tympanic membrane repair Symposium. More than 200 representatives of otolaryngology workers and a few other provinces and cities attended the conference. The meeting was hosted by Professor He Yongzhao, Third People’s Hospital affiliated to Shanghai Second Medical College. After the meeting, Professor Wu Xueyu from the Department of Otolaryngology, Shanghai First Medical College made a concluding speech. Participants on the tympanic membrane repair indications, repair materials, surgical methods, efficacy evaluation and surgical complications and other issues launched a lively discussion. First, Indications: Do not have too much emphasis on the time of dry ears, and sometimes the tympanum is also slightly wet surgery. Preoperative patch test as long as the bone conduction gap can be reduced to 25dB below, that is suitable for simple tympanic membrane repair. Younger children should generally be scheduled to undergo surgery. Preoperative eustachian tube function test there is no standard, there is a method of pinch nose gas to make judgments, but this method can not be normal; useful to the middle ear drops of bitter medicine, the view of its presence or absence into the throat to judge Blocked or not. Middle ear mucosa, such as squamous epithelium, scarring, although increased surgical difficulties, but not taboo. Bone conduction bad or good only indicates the degree of postoperative hearing, no effect on indications, due to the tympanic membrane repair typhoid prevent the onset of the role. Some people think that contralateral deafness, regardless of the situation of the ear and ear chain, should try to make a simple tympanic membrane repair; also think that such patients should not only tympanoplasty, even simple tympanic membrane repair also occurred