We perform the simple underlay myringoplasty with fibrin glue as the standard procedure for closing tympanic membrane perforation. In some cases, we use a gelatin sponge to fix the tissue graft instead of fibrin glue. We evaluated the surgical outcomes of myringoplasty in our department and verified our procedure without using fibrin glue. The overall perforation closure rate was 90.5%, and the hearing improvement success rate was 95.1%, which were good results. Ten of 63 ears underwent surgery without fibrin glue, and all of them had perforation closure. This approach without using fibrin glue is considered an option for patients with perforated eardrums who do not wish to use fibrin glue.
"},{"@language":"ja","@value":"当科では接着法鼓膜形成術を標準術式としつつ、症例を選んで中鼓室および外耳道にゼラチンスポンジを充填することでフィブリン糊を使用せず皮下組織片を固定する工夫を行っている。当科にて鼓膜形成術を施行した症例の手術成績を検討するととともに、フィブリン糊を使用しない工夫について検証した。全体の穿孔閉鎖率は 90.5％、聴力改善成功率は 95.1％と良好な結果であった。63 耳中 10 耳はフィブリン糊を使用しない工夫を施したが、フィブリン糊を使用しなかった 10 耳すべてで鼓膜穿孔の閉鎖が得られ、当科のフィブリン糊の使用をしない工夫は、フィブリン糊の使用を希望しない鼓膜穿孔患者に対して選択肢の一つと考えられた。
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410576966668779905","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"野田 哲平"},{"@language":"en","@value":"NODA Teppei"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科"},{"@language":"en","@value":"Department of Otolaryngology, Hamanomachi Hospital"},{"@language":"en","@value":"Department of Otorhinolaryngology, Graduate School of Medical Science, Kyushu University"},{"@language":"ja","@value":"九州大学大学院医学研究院耳鼻咽喉科学分野"}]},{"@id":"https://cir.nii.ac.jp/crid/1410576966668779906","@type":"Researcher","foaf:name":[{"@language":"en","@value":"TAMAE Akihiro"},{"@language":"ja","@value":"玉江 昭裕"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otolaryngology, Hamanomachi Hospital"},{"@language":"ja","@value":"国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410576966668779909","@type":"Researcher","foaf:name":[{"@language":"en","@value":"YASUI Tetsuro"},{"@language":"ja","@value":"安井 徹郎"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科"},{"@language":"en","@value":"Department of Otolaryngology, Hamanomachi Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410576966668779904","@type":"Researcher","foaf:name":[{"@language":"en","@value":"OKABE Midori"},{"@language":"ja","@value":"岡部 翠"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科"},{"@language":"en","@value":"Department of Otolaryngology, Hamanomachi Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410576966668779908","@type":"Researcher","foaf:name":[{"@language":"en","@value":"URAMOTO Reina"},{"@language":"ja","@value":"浦本 怜奈"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otolaryngology, Hamanomachi Hospital"},{"@language":"ja","@value":"国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410576966668779907","@type":"Researcher","foaf:name":[{"@language":"en","@value":"MATSUNAGA Akihide"},{"@language":"ja","@value":"松永 啓秀"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科"},{"@language":"en","@value":"Department of Otolaryngology, Hamanomachi Hospital"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"04477227"},{"@type":"EISSN","@value":"21851034"}],"prism:publicationName":[{"@language":"en","@value":"jibi to rinsho"},{"@language":"ja","@value":"耳鼻と臨床"},{"@language":"en","@value":"jibi to rinsho"},{"@language":"en","@value":"OTOLOGIA FUKUOKA"},{"@language":"ja","@value":"耳鼻"}],"dc:publisher":[{"@language":"en","@value":"JIBI TO RINSHO KAI"},{"@language":"ja","@value":"耳鼻と臨床会"}],"prism:publicationDate":"2022-03-20","prism:volume":"68","prism:number":"2","prism:startingPage":"73","prism:endingPage":"76"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2022168191"}],"availableAt":"2022-03-20","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E6%8E%A5%E7%9D%80%E6%B3%95%E9%BC%93%E8%86%9C%E5%BD%A2%E6%88%90%E8%A1%93","dc:title":"接着法鼓膜形成術"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%83%95%E3%82%A3%E3%83%96%E3%83%AA%E3%83%B3%E7%B3%8A","dc:title":"フィブリン糊"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%BC%E3%83%A9%E3%83%81%E3%83%B3%E3%82%B9%E3%83%9D%E3%83%B3%E3%82%B8","dc:title":"ゼラチンスポンジ"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2010327639"}]}