Short and Long-term Hearing Outcomes of Successful Inlay Cartilage Tympanoplasty of Patients Older and Younger than 60 Years of Age

比較60歲以上病患在接受軟骨內置氏鼓室成型術後短長期之聽力結果

陳世銘(Shih-Ming Chen) ； 王文弘(Wen-Hung Wang) ； 黃建嘉(Chien-Chia Huang)

《台灣耳鼻喉頭頸外科雜誌》 51卷2期 (2016/06) Pp. 118-126

https://doi.org/10.6286/2016.51.2.118

摘要

背景：軟骨內置型鼓室成形術常見運用於修復中小型慢性中耳炎的鼓膜穿孔。然而目前少有研究報告關於術後聽力恢復的動態變化。因此本研究分析比較大於60歲與小於60歲的病患在接受軟骨內置型鼓室成形術後其短期和長期的聽力結果。方法：我們回溯性分析25名病患共接受27側軟骨內置型鼓室成形術成功修復耳膜病例。平均年齡為60.3歲(範圍：42~76歲)，平均追蹤時間為565.7天(範圍：369至1,075天)。針對病患之術前、術後初始和術後長期聽力檢查結果予以分析比較。結果：共有15患耳來自13名年齡小於或等於60歲(平均：51.3歲)病患；另12患耳來自12名年齡大於60歲(平均：71.7歲)病患。在小於60歲的年輕的群組，平均(±標準差)短期術後聽力改善為6.7 (±7.4) dB；長期術後聽力改善為11.2 (± 10.0) dB。在大於60歲的年老群組，短期術後聽力改善為0.9 (±10.7) dB；長期術後聽力改善則為-2.2 (± 15.1) dB。在年輕的群組，短期和長期術後的氣骨導間隙閉合分別是6.3 (± 7.9)與13.0 (± 6.1) dB。在年老的群組，短期和長期的氣骨導間隙閉合分別是4.7 (±10.6)與2.6 (± 14.2) dB。結論：年輕的病患在術後其聽力結果可能持續改善超過1年。相較於年老的族群，年輕的族群有較佳的氣骨導間隙閉合( p ＜ 0.05)。（台耳醫誌　2016; 51:118-126）

關鍵字

內置型軟骨 ； 鼓室成形術 ； 慢性中耳炎 ； 聽力 ； 年紀

並列摘要

BACKGROUND: Inlay cartilage tympanoplasty (ICT) are commonly used in the repair of chronic otitis media with small to medium sized perforation of the tympanic membrane. However, few studies have addressed dynamic hearing results after ICT. In this study, we compared the short-term and long-term hearing outcomes of successful inlay cartilage tympanoplasty between patients older and younger than 60 years of age. METHODS: Twenty-five patients who underwent 27 procedures were enrolled in a retrospective case series study conducted in a tertiary referral center. The mean age was 60.3 years (range: 42 to 76 years). The mean follow-up time was 565.7 days (range: 369 to 1,075 days).The preoperative, initial postoperative and long-term hearing results in the patients with total repair of the ear drum were analyzed. RESULTS: There were 15 ears from 13 patients who were younger than or equal to 60 years (mean: 51.3 years), and 12 ears from 12 patients who were older than 60 years (mean: 71.7 years). In the younger group, the mean (± SD) hearing improvement was 6.7 dB (± 7.4) in short-term, and 11.2 (± 10.0) dB in long-term hearing examinations. In the older group, the mean (± SD) hearing improvement was 0.9 (± 10.7) dB in short-term and -2.2 (± 15.1) dB in long-term hearing examinations. In the younger group, the mean (± SD) air-bone gap closure was 6.3 (± 7.9) dB in short-term and 13.0 (± 6.1) dB in long-term hearing examinations. In the older group, the mean (± SD) air-bone gap closure was 4.7 (± 10.6) dB in short-term and 2.6 (± 14.2) dB in long-term hearing examinations. CONCLUSIONS: The hearing improvements continued in the younger group of patients for more than one year after surgery. The younger group had better air-bone gap closure than the older group (＞ 60 years) (p ＜ 0.05). (J Taiwan Otolaryngol Head Neck Surg 2016; 51:118-126)

並列關鍵字

inlay butterfly cartilage ； tympanoplasty ； chronic otitis media ； hearing ； age