耳鼻咽喉科展望
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
筋膜を用いたMyringoplasty
附, 外耳道保存鼓室成形術
本多 芳男
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ジャーナル フリー

1970 年 13 巻 3 号 p. 305-315,298

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One-hundred and thirty four myringoplasties were performed during the last five years by the author.
The prodedures employed could be divided into six different techniqes which were 1. total replacement of the tympanic membrane 2. partial closure 3. Shea's technique 4. Swing door plasty by Palva 5. Closure of epitympanic perforation 6. Sheehy's technique.
The closure of the tympanic membrane may be attained by any of the above procedures but the author recommended to avoid total replacement since it tended to result in functionalfailure. Myringoplasty is contraindicated for cholesteatoma of the epitympanium, even if without actual infection.
The techniques No.2 through No.6 except No.5 were found to be excellent but cases should be selected carefully based upon the size and location of the perforation, pathology of the middle ear, hearing threshold of the other ear and the ages of the patients.
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