鼓膜

Results As the graft materials in tympanoplasty, tragus perichondrium and temporal muscular fasciae are effective to enhance the efficiency of drum membrane and audile of patients.

结果 应用耳屏软骨膜及颞肌筋膜作为鼓膜移植材料，两者在提高鼓膜成活率和患者听力方面均效果良好。

If your Eustachian tube is clear, the eardrum will move slightly, but if it is blocked, the eardrum will remain still.

如果您的咽鼓管是明确的，鼓膜会动议轻微，但如果它被封锁，鼓膜将继续仍。

Methods 109 patients(109 ears) with perforations of the ear drum were recruited from November 2007 to March 2009 . The patients were divided into 3 groups according to the size and position of perforations of the ear drum: 31 accepted myringoplasties with a fat plug , 43 accepted perichondrium via endotoscope, and 35 accepted fascia musculares via an operating microscope.

针对不同大小及位置的鼓膜穿孔患者109例109耳，选择性地采用耳内镜下脂肪组织鼓膜成形术(31耳)、软骨膜鼓膜成形术(43耳)和显微镜颞肌筋膜鼓膜成形术(35耳)，比较三组患者的治疗效果。

Each was 12 times.The temperature in rectum,esophagus and tympanum was detected in turn.Results:Of 11 cases,required mediantime of reaching 40℃ in tympanum,esophagus and rectum was 81 min,81 min and 42 min respectively after heating;Above 41℃,it was 72 min,72 min and 72 min.

结果：经测温显示各部位温度于加温后达40℃以上所需中位时间分别为81(24～84)min(鼓膜7次)、81(24～93)min(食管7次)、42(9～72)min(直肠10次)；达41℃中位时间是72(39～96)min(鼓膜4次)、72(42～102)min(食管5次)、72(9～102)min(直肠7次)；40℃以上持续时间分别是鼓膜57(36～96)min，食管39(27～96)min，直肠66(48～111)min；各部位最高温度分别是40.4(39.4～41.3)℃、40.4(39.5～42)℃、41.5(39.2～43)℃。

Granular myringitis is a disease which treatment method. This report rcveals that treating granular myringitis with surgery may achieve high successful rate (100%, 14 cases /14 cases). So the surgical treatment is one of the most effective methods to cure the granular myringitis, if we ignore its complexity and accidental perforation of ear drum during the surgery (28%, 4 cases/ 14 cases).

肉芽性鼓膜炎发生的原因迄今未明，且仍未有单一种的治疗方法可治愈所有的此类病例，然而本研究结果显示以手术去除鼓膜上的肉芽组织的方法，虽然较复杂且有导致手术中鼓膜意外穿孔的机率（28%，4/14 cases），但是术后成功率高（100%，14/14 cases），故手术疗法为治愈肉芽性鼓膜炎的好方法之一。

From 1982 to 1988, 14 cases (8 females and 6 males) with granular myringitis had been operated under local anesthesia, and used an operation microscope to remove all the granulation tissue which existed over the ear drums. After we had removed the granulation tissue over the ear durms, we had performed free ear canal skin autograft for 8 cases – group A, and we had performed temporalis fascia with free ear canal skin autograft for 4 cases (small perforation was made by accident during the surgery due to large granulated area,﹥50%)– group B, but we had covered silastic sheet over the denuded drum surface for the other 2 cases –group C.

14例肉芽性鼓膜炎为自民国71年至77年间的住院手术病人，皆在耳局部麻醉后，於显微镜下刮除鼓膜上所有肉芽组织，其中8例於刮除鼓膜上所有肉芽组织后有移植外耳道的皮肤－A组，另外4例则因鼓膜上肉芽组织范围大於50%以上，致手术中意外地造成鼓膜小穿孔，需立刻加铺颞肌膜后，再移植外耳道的皮肤－B组，其余2例则只在刮除鼓膜上的肉芽组织后，直接铺上一块矽胶片－C组。

Six cases from control group suffered secondary infection,none was from myringoplasty group.Conclusion: Myringoplasty is an ideal method for traumatic perforation of tympanic membrane.

鼓膜成形术治疗外伤性鼓膜穿孔可缓解症状，提高听力，减轻患者痛苦，促使鼓膜早期愈合，避免继发感染，操作简便，安全有效。

Objective The aim of this study is to determine the efficacy and safety of topical tetracaine anesthesia for out patient with myringotomy and myringotomy with a tube.

目的 研究分泌性中耳炎病人门诊行鼓膜切开、鼓膜激光和鼓膜置管使用丁卡因表面麻醉剂的效果和安全性。

Methods 109 patients with otitis media effusion (115ears)were undergone myringotomy and YAG-laser with or without tube with 8% topical tetracaine in office between 1997 to 2004 year which reviewed retrospectively.

回顾分析115耳109例分泌性中耳炎患者于1997～2004年间本。。。目的研究分泌性中耳炎病人门诊行鼓膜切开、鼓膜激光和鼓膜置管使用丁卡因表面麻醉剂的效果和安全性。

This study suggests the topical tetracaine anesthesia for out patient with myringotomy YAG-laser with or without tube is effective and safe and economical.......

8%丁卡因局部麻醉剂对门诊鼓膜切开、激光和鼓膜置管麻醉有效、安全、可靠，且经济实用。丁卡因；局部麻醉；鼓膜切开；YAG-激光

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失