ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ VIÊM TAI DÍNH CÓ TẠO HÌNH MÀNG NHĨ BẰNG SỤN VÀ CHỈNH HÌNH XƯƠNG CON

Abstract

Method: Using a descriptive case-by-case approach to evaluate the results of ossicular chain reconstruction and cartilage tympanoplasty. Results: There were 15 patients with 16 surgical ears. The mean age was 40.06 ± 11.16 years old. Disruption of the ossicular chain due to erosion of long crus of the incus in 14/16 ears (87.5%), intact stapes in 16/16 ears. Autologous partial ossicular by incus 5/16, cartilage 7/16, mastoid cortex 4/16 ears. All 13/13 cases on whom cartilage tympanoplasty was performed did not have recurrent, while two thirds of patients with partial cartilage tympanoplasty experienced recurrence of adhesive otitis. After surgery, the average cochlear reverse was improved by 6.01 ± 9.88 dB, the average PTA was good by 9.76 ± 13.58 dB, the average ABG improved PT by 3.67 ± 13.75 dB. Conclusion: Surgical treatment of adhesive otitis media should shape the entire eardrum with cartilage to avoid recurrence of the disease, the combination of ossicular reconstruction helps to improve hearing function.