论文部分内容阅读
Berthold(1878)首先报导用自体皮片作鼓膜穿孔手术修补,称之为鼓膜成形术。以后一直到1952年才有Wullstein和Zollner等报导在显微镜下采用断层皮片修补穿孔,称之为鼓室成形术。 50年代修补鼓膜穿孔之游离皮片多取自耳后或上臂。William House(1961)介绍采用外耳道骨段带蒂或游离皮片修补鼓膜穿孔效果良好。作者提出:除外耳道骨段皮片外其他移植皮片均有以下缺点:(1)脱屑过多需经常清理;(2)成活率低;(8)即使穿孔完全愈合也可能再次穿孔;(4)胆脂瘤可能继发于移植皮片割断的毛囊或腺体;(5)偶见慢性皮炎发生;(6)感染后移植失败。此外尚有采用结缔组织修
Berthold (1878) first reported the repair of a tympanic membrane perforation with a self-skinned piece called tympanoplasty. It was not until 1952 that Wullstein and Zollner reported using microsurgery to repair perforation, called tympanoplasty. 50’s repair tympanic membrane perforation of the free skin and more from the ear or arm. William House (1961) introduced the use of external auditory canal pedicle or free skin flap repair tympanic membrane perforation good effect. The authors suggest that: Except for the external auditory canal skin graft skin graft other defects have the following disadvantages: (1) excessive scaling should be frequently cleaned; (2) survival rate is low; (8) perforation may perforate even if the perforation completely healed; 4) cholesteatoma may be secondary to the cutaneous follicles or glands cut off graft; (5) Occasionally chronic dermatitis occurred; (6) failed to transplant after infection. In addition there are still using connective tissue repair