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Wullstein和Zollner首创鼓室成形术使中耳炎手术大为革新,25年来发展很快,已成为慢性中耳炎的有效疗法,其前途是肯定的。按定义鼓室成形术是“根除中耳病变,重建听力机构的手术,可不或伴鼓膜移植,但不包括乳突手术。”移植物:以现代标准来看游离皮片并不理想,有些病例发生医源性胆脂瘤。耳道皮片较易成活,但日后易脱屑是其缺点。静脉片、筋膜、软骨膜、以及近10年来的异体鼓膜移植,它们的特点是都含有结缔组织,各有所长,而自体筋膜已成为衡量其他移植材料的标准。内置或外置法的成活率都是96~97%。
The pioneering tympanoplasty by Wullstein and Zollner has revolutionized otitis media surgery and has developed rapidly for 25 years and has become an effective therapy for chronic otitis media with a positive future. By definition, tympanoplasty is “surgery to eradicate otitis media, rebuild hearing mechanisms, or not with or without tympanoplasty, but excludes mastoidectomy.” Grafts: A modern standard is not ideal for free skin and in some cases Iatrogenic cholesteatoma. Ear canal skin more easily survived, but the future is easy to descaling its shortcomings. Venous films, fascia, cartilage, and allograft tympanic membrane transplantation in the past 10 years, all of which are characterized by connective tissue, have their own strengths, and autologous fascia has become a measure of other transplants of the standard. The survival rate of internal or external method is 96 ~ 97%.