단순 내면이식 고막성형술의 임상적 유용성
Clinical Usefulness of Simple Underlay Myringoplasty
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Background and Objectives Recently, myringoplasty, which does not require elevation oftympanomeatal flap, has drawn attention again as a minimally invasive surgery. This studyassessed clinical usefulness of simple underlay myringoplasty in repairing dry perforated eardrumor chronic suppurative otitis media in aged and/or frail patients. Subjects and Method This retrospective study included patients who underwent simpleunderlay myringoplasty from February 1, 2017 to September 30, 2020, and who were monitoredfor more than 6 months after surgery. Major outcome measurements were determinedby graft success and hearing results. Results A total of 106 cases were studied. The overall graft success rate was 84.0% and themean air-bone gap decreased by 7.8 dB postoperatively. The graft take was quite successfuleven in the cases of recurrent or chronic otorrhea in aged (≥70 years old) and/or frail patients. Conclusion Simple underlay myringoplasty could be used as a minimally invasive surgeryin dry perforated eardrum. It could be also considered as the first surgical choice for recurrentor chronic otorrhea in chronic suppurative otitis media in aged and/or frail patients.
Abstract
Background and Objectives Recently, myringoplasty, which does not require elevation oftympanomeatal flap, has drawn attention again as a minimally invasive surgery. This studyassessed clinical usefulness of simple underlay myringoplasty in repairing dry perforated eardrumor chronic suppurative otitis media in aged and/or frail patients. Subjects and Method This retrospective study included patients who underwent simpleunderlay myringoplasty from February 1, 2017 to September 30, 2020, and who were monitoredfor more than 6 months after surgery. Major outcome measurements were determinedby graft success and hearing results. Results A total of 106 cases were studied. The overall graft success rate was 84.0% and themean air-bone gap decreased by 7.8 dB postoperatively. The graft take was quite successfuleven in the cases of recurrent or chronic otorrhea in aged (≥70 years old) and/or frail patients. Conclusion Simple underlay myringoplasty could be used as a minimally invasive surgeryin dry perforated eardrum. It could be also considered as the first surgical choice for recurrentor chronic otorrhea in chronic suppurative otitis media in aged and/or frail patients.
참고문헌 (11)
- Mudry A, "History of myringoplasty and tympanoplasty type I", Otolaryngol Head Neck Surg, 139(5), pp.613~614 (2008)
- Sakagami M, "Simple underlay myringoplasty", J Laryngol Otol, 121(9), pp.840~844 (2007)
- Sakagami M, "Long-term observation on hearing change in patients with chronic otitis media", Auris Nasus Larynx, 27(2), pp.117~120 (2000)
- Marchioni D, "The management of tympanic membrane perforation with endoscopic type I tympanoplasty", Otol Neurotol, 41(2), pp.214~221 (2020)
- 나한슬, "Comparison of Grafting Success Rate and Hearing Outcomes between Endoscopic and Retro-Aural Approach (Tympanoplasty Type I)", 임상이비인후과, 31(2), pp.164~172 (2020), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
- 김종선, "성인의 제 1 형 고실성형술후 결과", 대한이비인후-두경부외과학회지, 45(12), pp.1130~1135 (2002), 대한이비인후과학회
- Tseng CC, "Comparison of the efficacy of endoscopic tympanoplasty and microscopic tympanoplasty : A systematic review and meta-analysis", Laryngoscope, 127(8), pp.1890~1896 (2017)
- 최나연, "Comparison of Endoscopic Tympanoplasty to Microscopic Tympanoplasty", Clinical and Experimental Otorhinolaryngology, 10(1), pp.44~49 (2017), 대한이비인후과학회[DOI]
- Sale CS, "Myringoplasty with subcutaneous tissue graft", Arch Otolaryngol, 89(3), pp.494~498 (1969)
- Yawn RJ, "Lateral-to-malleus underlay tympanoplasty : Surgical technique and outcomes", Otol Neurotol, 35(10), pp.1809~1812 (2014)
- Yuasa Y, "Postoperative results of simple underlay myringoplasty in better hearing ears", Acta Otolaryngol, 128(2), pp.139~143 (2008)