SU1487903A1 - Method of treating tympanoplasty - Google Patents

Method of treating tympanoplasty Download PDF

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Publication number
SU1487903A1
SU1487903A1 SU864107958A SU4107958A SU1487903A1 SU 1487903 A1 SU1487903 A1 SU 1487903A1 SU 864107958 A SU864107958 A SU 864107958A SU 4107958 A SU4107958 A SU 4107958A SU 1487903 A1 SU1487903 A1 SU 1487903A1
Authority
SU
USSR - Soviet Union
Prior art keywords
prosthesis
tympanoplasty
treating
fixation
walls
Prior art date
Application number
SU864107958A
Other languages
Russian (ru)
Inventor
Elena A Evdoshchenko
Vladimir A Shkorbotun
Bogdan G Iskiv
Anatolij L Kosakovskij
Original Assignee
Ki Gi Usovershenstvovaniya
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ki Gi Usovershenstvovaniya filed Critical Ki Gi Usovershenstvovaniya
Priority to SU864107958A priority Critical patent/SU1487903A1/en
Application granted granted Critical
Publication of SU1487903A1 publication Critical patent/SU1487903A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F11/00—Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
    • A61F11/20—Ear surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/18—Internal ear or nose parts, e.g. ear-drums
    • A61F2002/183—Ear parts

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Acoustics & Sound (AREA)
  • Biophysics (AREA)
  • Otolaryngology (AREA)
  • Psychology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Description

Изобретение относится к оториноларингологии. Цель изобретения — повышение надежности фиксации протеза. Протез готовят из хряща перегородки носа и фиксируют на стенках барабанной полости с помощью листков надхрящницы, поверх которых укладывают неотимпанальный лоскут из фасции височной мышцы. Способ позволяет выполнять операцию в один этап при разрушении барабанной перепонки и слуховых косточек.The invention relates to otolaryngology. The purpose of the invention is to improve the reliability of fixation of the prosthesis. The prosthesis is prepared from the cartilage of the nasal septum and fixed on the walls of the tympanic cavity with the help of sheets of the perchondrium, on top of which a neotympanic flap is placed from the fascia of the temporal muscle. The method allows you to perform the operation in one stage in the destruction of the eardrum and auditory ossicles.

Изобретение относится к медицине, а именно к оториноларингологии, и может быть использоважэ при слухоулучшающих операциях, когда имеется разрушение слуховых косточек и тотальный дефект барабанной перепонки.The invention relates to medicine, namely to otolaryngology, and can be used in hearing-improving operations, when there is a destruction of the auditory ossicles and a total defect of the eardrum.

Цель изобретения — повышение надежности фиксации протеза.The purpose of the invention is to improve the reliability of fixation of the prosthesis.

Способ осуществляют следующим образом.The method is as follows.

Из ауто- или аллохряща перегородки но- > са вместе с надхрящницей берут заготовку прямоугольной формы. Во время операции, когда становится известным размер протеза, надхрящницу с обеих сторон заготовки отслаивают до намеченного уровня, а оголенную часть хряща отсекают. Листки надхрящницы разводят в разные стороны и производят моделирование протеза по форме и размеру. После выполнения санирующей части операции на основание стремени устанавливают протез и фиксируют полосками надхрящницы на стенках барабанной полости. На подготовленное, ложе укладывают тимпанальный лоскут из фасции височной мышцы с провисанием до соприкосновения с протезом и фиксирующими полосками. Наружный слуховой проход выполняют марлевыми прокладками, пропитанными синтомициновой эмульсией. За счет слипчивого процесса между надхрящницей, фасциальным лоскутом и деэпителизированными стенками барабанной полости достигается надежная фиксация протеза как во время операции, так и в послеоперационном периоде.From the auto- or allohryascha the no-> ca partitions together with the perichondrium take a rectangular billet. During the operation, when the size of the prosthesis becomes known, the nadkhryashnitsa on both sides of the workpiece is peeled off to the intended level, and the bare part of the cartilage is cut off. Sheets of the perchondrium are bred in different directions and the prosthesis is modeled according to its shape and size. After performing the sanation part of the operation, a prosthesis is installed on the basis of the stirrup and fixed on the walls of the tympanum with strips of the sheath. On the prepared bed, a tympanic flap is laid from the fascia of the temporal muscle with sagging until it comes into contact with the prosthesis and fixation strips. The external auditory meatus is made with gauze pads, saturated with syntomycin emulsion. Due to the adhesive process between the perichondrium, fascial flap and de-epithelized walls of the tympanic cavity, reliable fixation of the prosthesis is achieved both during the operation and in the postoperative period.

Claims (1)

Формула изобретенияClaim Способ тимпанопластики путем, фиксации трансплантата из ауто- или аллохряща между подкожной пластинкой стремени и неотимпанальной мембраной, отличающийся тем, что, с целью повышения надежности фиксации протеза, в качестве трансплантата используют хрящ перегородки носа с надхрящницей, которую фиксируют на стенках барабанной полости.A method of tympanoplasty by fixing a graft from an auto or allohryasch between the subcutaneous plate of the stapes and the neotympanic membrane, characterized in that, in order to improve the reliability of fixation of the prosthesis, the nasal septum cartilage is used as a graft, which is fixed on the walls of the tympanum. 1487903 А11487903 A1
SU864107958A 1986-06-10 1986-06-10 Method of treating tympanoplasty SU1487903A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU864107958A SU1487903A1 (en) 1986-06-10 1986-06-10 Method of treating tympanoplasty

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SU864107958A SU1487903A1 (en) 1986-06-10 1986-06-10 Method of treating tympanoplasty

Publications (1)

Publication Number Publication Date
SU1487903A1 true SU1487903A1 (en) 1989-06-23

Family

ID=21252966

Family Applications (1)

Application Number Title Priority Date Filing Date
SU864107958A SU1487903A1 (en) 1986-06-10 1986-06-10 Method of treating tympanoplasty

Country Status (1)

Country Link
SU (1) SU1487903A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0483567A1 (en) * 1990-10-31 1992-05-06 Heinz Kurz Medical cutting device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0483567A1 (en) * 1990-10-31 1992-05-06 Heinz Kurz Medical cutting device

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