otitis media
Conditions
Interventions
observation group:Using the sandwich method of repairing the eardrum during endoscopic
Sponsors
People's Hospital of Anshun city Guizhou Province
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1) Age 18-65 years old, gender is not limited; 2) Chronic otitis media or trauma caused by tympanic membrane perforation and more than 3 months do not heal; 3) The perforation of the tympanic membrane is located in the tense part, and there are central perforations of the residual tympanic membrane around the perforation; 4) First operation on the ear; 5) Electrical audiometry results suggest conductive or mixed hearing loss; 6) There is no tympanic inflammation or inflammation control, and no squamous epithelial invasion in the tympanic chamber; 7) The upper tympanum, tympanic sinus and mastoid were free of granulations, cholesteroma and other abnormalities; 8) Mucosal inflammation in tympanic and mastoid air chamber systems was in a resting state; 9) CT of temporal bone indicates that the auditory chain in the tympanic chamber is intact; 10) No serious systemic diseases, such as cardiovascular and cerebrovascular diseases, liver and kidney insufficiency, hematopoietic system diseases; 11) Subjects who are able to understand and abide by the study procedures and voluntarily participate in the study by signing the informed consent form (the informed consent is signed by themselves or their legal representatives).
Exclusion criteria
Exclusion criteria: (1) Relative contraindications: 1) cardiopulmonary insufficiency; 2) People with coagulation disorders; 3) middle ear cholesteatoma, suppurative otitis media acute stage; 4) Patients with small operating space and visual field in endoscopic surgery. (2) Absolute contraindications: 1) Patients with severe cardiopulmonary diseases, such as severe arrhythmia, acute stage of myocardial infarction, severe heart failure, asthma attack, respiratory failure and so on. 2) Suspected shock, gastrointestinal perforation and other critical patients. 3) Severe mental disorders and uncooperative mental patients. 4) Complicated with intracranial and extracranial complications of chronic suppurative otitis media, cholesteatoma of the middle ear, tympanosclerosis (types ?, ?, ?); 5) middle ear adhesions; 6) Combined with external, middle and inner ear deformity; 7) Patients with systemic diseases who cannot tolerate general anesthesia; 8) Combined with mental illness.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time of operation;Tympanic membrane recovery;Hearing recovery;Tympanic curve recovery; | — |
Countries
China
Contacts
Public ContactYouxing Lan
People's Hospital of Anshun city Guizhou Province
Outcome results
None listed