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首页> 美国卫生研究院文献>Indian Journal of Otolaryngology and Head Neck Surgery >Comparative Evaluation of Tympanoplasty with or Without Mastoidectomy in Treatment of Chronic Suppurative Otitis Media Tubotympanic Type
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Comparative Evaluation of Tympanoplasty with or Without Mastoidectomy in Treatment of Chronic Suppurative Otitis Media Tubotympanic Type

机译：鼓膜成形术联合或不联合乳突切除术治疗慢性化脓性中耳炎Tubotympanic型的比较评价。

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摘要

To study the role of tympanoplasty alone and tympanoplasty done along with cortical mastoidectomy in CSOM in term of graft uptake, improvement of hearing and removal of disease. This is retrospective study of patient at tertiary referral centre, conducted in between October 2015 and October 2016, study was done on 40 patients of either sex in the age group 20–50 years. Tympanoplasty alone was done in 20 cases and tympanoplasty along with cortical mastoidectomy was done in rest 20 cases. Patient were reviewed post operatively on 2, 4, 8 and 16 weeks to inspect post operative graft uptake and PTA was done at fourth month to evaluate hearing improvement. Hearing improvement was compared in both the groups in tympanoplasty group was 9.41 and in tympanoplasty combined with cortical mastoidectomy was 12.05. Graft uptake was 80% in tympanoplasty group and 95% in tympanoplasty combined with cortical mastoidectomy. Recurrence of discharge was seen in 4 cases of tympanoplasty. Though tympanoplasty combined with cortical mastoidectomy is better in hearing improvement, graft uptake and clinical improvement but the difference in 2 groups is statistically insignificant. Results of tympanoplasty alone and tympanoplasty along with cortical mastoidectomy in terms of hearing gain and graft uptake were statistically insignificant.
机译：研究单独的鼓室成形术以及鼓膜成形术与皮质乳突切除术一起在CSOM中对移植物摄取，改善听力和消除疾病的作用。这是在2015年10月至2016年10月之间在三级转诊中心对患者进行的回顾性研究，研究对象是40位年龄在20至50岁之间的40名男女患者。仅鼓膜成形术20例，鼓膜成形术及皮质乳突切除术其余20例。术后第2、4、8和16周对患者进行检查，以检查术后移植物的摄取情况，并在第四个月进行PTA以评估听力改善情况。鼓室成形术组两组的听力改善比较为9.41，鼓室成形术联合皮质乳突切除术的听力改善为12.05。鼓膜成形术组与皮质乳突切除术相结合时，嫁接摄取率为80％，鼓膜成形术为95％。 4例鼓室成形术可见复发。虽然鼓膜成形术联合皮质乳突切除术在听力改善，移植物吸收和临床改善方面更好，但两组之间的差异在统计学上无统计学意义。单独的鼓室成形术和鼓膜成形术以及皮质乳突切除术的结果在听觉和移植物吸收方面均无统计学意义。

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