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Application of amniotic membrane for covering mastoid cavity in canal wall down mastoidectomy

机译:羊膜在管壁下覆盖乳突腔覆盖乳突膜的应用

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摘要

Objective Prevention of granulation tissue formation and acceleration of epithelialization of the mastoid cavity in canal wall down (CWD) mastoidectomy by use of amniotic membrane (AM) as a biologic dressing. Study Design Prospective and randomized study. Methods During CWD mastoidectomy, an inferiorly base musculoperiosteal flap was rotated into the cavity. In order to coverage of this flap, the AM (75 ears) or the temporalis fascia (control group, 73 ears) was used. The times for mastoid cavity epithelialization were compared in both groups. Results In the AM group, duration of complete epithelialization of the cavity was 41.4 +/- 7.7 days, whereas in the control group it was 59.2 +/- 9.1 days. Duration of time for complete epithelialization in the AM group was shorter than in the control group, which was significant (P < 0.0001). Conclusion The use of AM in CWD mastoidectomy is beneficial in minimizing postoperative epithelialization time. Level of Evidence 1b Laryngoscope, 129:1453-1457, 2019
机译:通过使用羊膜(AM)作为生物敷料,通过使用羊膜(CWD)乳房切除术中颗粒组织形成和加速颗粒组织形成及加速度。研究设计前瞻性和随机研究。方法在CWD乳腺切除术期间,将较低的基础肌肉膜瓣旋转到腔中。为了覆盖该翼片,使用AM(75只耳朵)或颞筋(对照组,73只耳朵)。两组比较了乳突腔上皮的时间。结果在AM组中,腔的完全上皮化的持续时间为41.4 +/- 7.7天,而在对照组中,它为59.2 +/- 9.1天。 AM组完全上皮化的持续时间比对照组更短,这是显着的(P <0.0001)。结论AM在CWD乳腺切除术中的使用在最小化术后上皮化时间中是有益的。证据级别1B喉镜,129:1453-1457,2019

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