Analysis of the Application Differences of Inner Lining Method and Butterfly Shaped Cartilage Membrane Embedding Method for Tympanic Membrane Repair under Otoscopy
Objectives To analyze the differences in the application of inner lining tympanic membrane repair under otoscopy and butterfly cartilage membrane embedding tympanic membrane repair under otoscopy.Methods A total of 50patients with chronic suppurative otitis media with tympanic membrane perforation admitted to our hospital from December 2021 to December 2023 were selected as the research objects.The patients were randomly divided into observation group and control group,with 25 cases in each group.The observation group underwent endoscopic tympanic membrane repair with inner lining method,and the control group was treated with butterfly shaped cartilage membrane embedding method under ear endoscopy.The healing rate of the tympanic membrane,intraoperative blood loss,surgical time,and surgical complications(graft infection,tympanic membrane invagination,and tympanitis)after treatmentwere compared between the two groups.The Pure Tone Average(PTA),Air-bone Gap(ABG)score,and postoperative 24-hour VAS score of the two groups before and 2 months after surgery were analyzed.Results After treatment,there was no significant difference in tympanic membrane healing rate and intraoperative blood loss between the observation group and the control group(P>0.05).The operation time of the observation group was significantly shorter than that of the control group(P<0.05).Before treatment,there was no significant difference in PTA and ABG between the two groups(P>0.05).After treatment,the indicators in observation group weresignificantly better than those in control group(P<0.05).There was no significant difference in VAS score between the two groups before treatment(P>0.05).After treatment,the score in the observation group was significantly better than that in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusions The advantages of inner lining method of tympanic membrane repair under otoscopyare more obvious than those of butterfly shaped cartilage membrane embedding method.It can improve hearing,reduce pain,and shorten surgical time,which is beneficial to reducing intraoperative bleeding,improving tympanic membrane healing rate,and reducing the incidence of postoperative complications,and the effect is significant.