癒着性中耳炎の鼓膜再癒着防止について

抄録

Countermeasures against readhesion of the new ear drum after tympanoplasty in adhesive otitis are discussed. In 92 cases of adhesive otitis media, nine countermeasures were used: 1) no special procedure but separation of limitted adesion, 2) insertion of Gelfilm sheets, 3) insertion of Silicon paste, 4) transplant of mastoid antrum mucosa, 5) cartilage plate, 6) intentional lateral healing of new ear drum, 7) insertion of Gelfoam, 8) transplant of nasal mucosa, 9) total removal of ear drum and myringoplasty after mucosa regerenation. The favorable result was obtaind in the following order; transplant of antrum mucosa, cartilage plate, Gelfoam, Gelfilm, and Silicon paste, intentional laterale healing.
Surgical procedure of transplantation of mastoid antrum mucosa was reported. A special case, in which hearing was improved after 6 times of tympanoplasty in only hearing ear was reported.