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208耳中,鼓膜大穿孔有极少残留边缘者125耳,中等穿孔即穿孔直径大于3毫米者80耳,小穿孔即小于3毫米者3耳。取好颞筋膜进行脱水处理,在鼓膜内侧面做好创面,植入颞筋膜,术后十天取出填塞物。鼓膜穿孔封闭者189耳,成活率为90.9%。术后因各种原因所致人工鼓膜再穿孔未封闭者19耳,占9.1%。总计听力提高10分贝以上者188耳,占90.3%,无提高者20耳,占9.7%。随访一年以上者列为远期效果。208耳中共随访146耳。146耳中,人工鼓膜生长良好138耳,占94.5%,因各种原因所致鼓膜穿孔8耳,占5.5%。146耳中总计听力提高10分贝以上者124耳,占84.9%。
208 ears, tympanic membrane perforation with minimal residual edge of 125 ears, medium perforation that perforation diameter greater than 3 mm 80 ears, small perforation that is less than 3 mm 3 ears. Take the temporal fascia dehydration treatment, do a good job in the medial surface of the tympanic membrane, implantation of temporal fascia, remove the stuffing ten days after surgery. The tympanic membrane perforation closed 189 ears, the survival rate was 90.9%. Postoperative artificial tympanic membrane due to various reasons and then not perforated 19 ears, accounting for 9.1%. Total hearing increased by more than 10 dB 188 ears, accounting for 90.3%, 20 ears without improvement, accounting for 9.7%. Follow-up more than one year as a long-term effect. A total of 208 ears were followed up 146 ears. 146 ears, the artificial tympanic membrane growth of 138 ears, accounting for 94.5%, due to various causes of tympanic membrane perforation 8 ears, accounting for 5.5%. Of the 146 ears, those with ears above 10 dB increased 124 ears, accounting for 84.9%.