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Butterfly kıkırdak greft miringoplasti sonuçları

Butterfly cartilage graft myringoplasty results

Journal Name:

  • Abant Tıp Dergisi

Publication Year:

  • 2012
DOI: 
http://dx.doi.org/10.5505/abantmedj.2012.09797

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Amaç: Bu çalışmanın amacı Kulak Burun Boğaz Kliniğine başvuran ve “kıkırdak greft butterfly miringoplasti” ame-liyatı yaptığımız kronik otitis medialı hastalarda işitme düzeyini retrospektif olarak analiz etmektir. Yöntemler: Çalışmaya 22 hasta (26 kulak) dahil edildi. 18 hastada genel anestezi altında 8 hastada lokal anestezi altında, gerçekleştirildi. Cerrahi 22 hastada tek kulakta 4 hastada her ki kulakta ve Eavey tarafından tarif edildiği şekilde gerçekleştirildi. Ameliyat öncesi ve ameliyat son-rası yapılan odyolojik incelemeler retrospektif olarak analiz edildi. Bulgular: Çalışmaya dahil edilen 22 hasta (26 kulak)’ nın yaşları 12-44 arasında idi. Postoperatif takipte kıkırdak greft butterfly tekniği uygulanan 26 kulağın perforasyo-nunun kapandığı görüldü. Hastaların odyolojik inceleme-sinde ameliyat öncesi hava kemik aralığı (ABG) ortalama 14,81±4,12 dB iken, ameliyat sonrası ortalama 6,27±4,50 dB olarak ölçüldü. ABG acısından preoperatif döneme göre postoperatif dönemdeki azalmanın istatistiksel olarak anlamlı olduğu görüldü (p<0.05). Sonuç: Kronik otitis medialı hastalarda kıkırdak greft butterfly miringoplasti tekniğinin güvenli, kolay, kısa sürede yapılabilen, küçük ve orta boyuttaki perforasyon-larda uygulanabilecek bir teknik olduğu görüldü.
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Abstract (Original Language): 
Aim: The aim of this study was to study a retrospective analysis of the cartilage graft butterfly myringoplasty per-formed by the Otolaryngology Head and Neck Surgery department. Material and Methods: Twenty-two subjects (26 ears) were enrolled in the study. Surgery was performed under general anesthetic in 18 of the 26 ears and under local anesthetic for the remaining eight ears. In four subjects, surgery was per-formed on both ears as described by Eavey. Before the sur-gery and during the one postoperative year, an audiologist performed pure-tone audiograms. These audiograms were analysed retrospectively. Results: Twenty-two subjects (26 perforated ears) who ranged in age from 12 to 44 years were enrolled in this study. All 26 perforations treated by CGBM (cartilage graft butterfly myringoplasty) were successfully closed at the end of the follow-up period. The mean preoperative ABG for all 22 patients was 14,81±4,12 dB and postoperative 6,27±4,50 dB. The ABG of the cases were evaluated as having a statisti-cally significant reduction in the mean postoperative ABG (p<0.05). Conclusion: Cartilage graft butterfly myringoplasty is a safe, timesaving, easy, and effective technique for the closure of small-to-medium tympanic membrane perforations.
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  • 1
8-12
  • Turkish

REFERENCES

References: 

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