摘要
從民國82年7月至83年1月國軍八一一醫院耳鼻喉科選擇17例（20耳）慢性中耳炎合併鼓膜穿孔的病患，施行耳垂脂肪鼓膜成形術。其中男性12名、女性5名，年齡由21歲到64歲，除3例為兩側鼓膜穿孔外，其餘皆為單側鼓膜穿孔。此20耳於術後定期記錄聽力，並於顯微鏡下觀察鼓膜生長的情況。經1年的追蹤發現，其中17耳生長良好，且聽力平均增加9.8 dB（自2.5 dB 至18.5 dB），手術成功率為85%，幾近於鼓室成形術的手術成功率。相較於鼓室成形術、紙鼓膜成形術及三氯醋酸燒灼鼓膜成形術，本項手術具有便捷、經濟、高成功率及低痛苦等優點，值得推廣。
關鍵字
耳垂脂肪鼓膜成形術並列摘要
Twenty earlobe adipose myringoplasties were performed on 17 patients, 12 males and 5 females, with the age between 21 to 64, from July 1993 to January 1994. All the ears fitted the criteria of being dry and central perforation in type with less than 30% in area. During 10 to 16 moths of postoperative observation, we recorded the patients’ hearing change and evaluated the eardrum condition under the microscope. It showed that 17 had the perforation closed and an average hearing improvement of 9.8 dB, from 2.5 to 18.5 dB. Only 3 failures ensued. The success rate was 85%, close to that of tympanoplasty, type I.