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介绍一种简单、快速且成功率高的鼓膜成形术。术前患者至少3个月无中耳炎史。手术可在门诊全麻下进行。清除外耳道耵聍,如有鼓室通气管者,轻轻拨出,若取出困难,可在鼓膜穿孔的一侧边缘做一小松弛切口便于取出。然后用杯状钳沿穿孔边缘咬除约1mm,将浸有肾上腺素的明胶海绵暂覆于穿孔部。将直径约6mm的圆形凝胶膜(Gelfilm)浸在生理盐水中增加其柔韧性。在凝胶膜中部两侧各制成两个对称的条片(tab),其间距要小于鼓膜穿
Introduce a simple, rapid and high success rate of tympanoplasty. Preoperative patients without history of otitis media at least 3 months. Surgery can be carried out in the clinic under general anesthesia. Removal of external auditory canal 耵 聍, if tympanic ventilation if the person, gently dial out, if difficult to remove, you can in the tympanic membrane perforation of the edge of a small slack incision made easy to remove. Then use the cup-like forceps along the perforation edge bite about 1mm, epinephrine soaked gelatin sponge temporarily in the perforation. Immersing a round gel membrane (Gelfilm) of about 6 mm in diameter in saline increased its flexibility. Two symmetrical tabs are made on each side of the middle of the gel membrane with a smaller spacing than the tympanic membrane