Volume 19 Issue 2
Feb.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(2): 212-216
DING Zhao-ran, JIANG Cheng-yi, WANG Wei, QIANG Hua-long, CHENG Zhong-qiang, ZHAN Xiao-dong. Analysis of clinical efficacy of tympanic membrane repair surgery under otoscope under wet ear stage[J]. Chinese Journal of General Practice, 2021, 19(2): 212-216. doi: 10.16766/j.cnki.issn.1674-4152.001770
Citation: DING Zhao-ran, JIANG Cheng-yi, WANG Wei, QIANG Hua-long, CHENG Zhong-qiang, ZHAN Xiao-dong. Analysis of clinical efficacy of tympanic membrane repair surgery under otoscope under wet ear stage[J]. Chinese Journal of General Practice, 2021, 19(2): 212-216. doi: 10.16766/j.cnki.issn.1674-4152.001770
shu

Analysis of clinical efficacy of tympanic membrane repair surgery under otoscope under wet ear stage

doi: 10.16766/j.cnki.issn.1674-4152.001770

  • Department of Otolaryngology/Head and Neck Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 2017jyxm1398

  • Received Date: 2020-07-01
    Available Online: 2022-02-19
    Abstract
  •   Objective  To investigate the clinical effect of tympanoplasty in patients with chronic suppurative otitis media in wet ear stage.  Methods  A retrospective study was conducted on 31 patients with otitis media in wet ear stage who were treated in the Department of Otolaryngology, head and neck surgery, the First Affiliated Hospital of Bengbu Medical College from September 2018 to December 2019. The degree of tympanic membrane perforation and hearing loss before operation were compared, and the hearing recovery, tympanic membrane healing and patients' satisfaction three months after operation were analyzed. Whether the patients with chronic suppurative otitis media in wet ear stage can be operated with tympanic membrane repair under otoscope in clinical work, and whether the operation can obtain satisfactory curative effect were discussed.  Results  All the patients (30/31 ears) had good tympanic membrane healing at 3 months after operation, except that 1 patient showed perforation of tympanic membrane. The postoperative hearing of all patients was significantly improved compared with that before surgery, and the mean air-to-air hearing threshold recovered from (38.45±1.65) dB HL before surgery to (25.94±2.62)dB HL 3 months after surgery. The mean gas-bone conduction threshold difference recovered from (23.68±1.17) dB HL before surgery to (7.77±1.78) dB HL 3 months after surgery, with statistically significant difference (all P < 0.05). The overall satisfaction of patients reached 30(96.77%).  Conclusion  Under the condition of proper cleaning of purulent secretions in the external auditory canal and the drum chamber before and during the operation, and rational use of antibiotics according to drug sensitivity results before and after the operation, Otoscopic tympanoplasty can be performed in patients with chronic suppurative otitis media in the wet ear stage, with satisfactory clinical efficacy.

     

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