Bu çalışmamızda tonsillektomi yöntemlerinin operasyon süreleri intraoperatif kanama postoperatif tam iyileşme süresi, postoperatif ağrı açısından karşılaştırırken uygun tonsillektomi tekniğini tespit etmeyi amaçladık. Gereç ve Yöntem: Harran Üniversitesi Tıp Fakültesi Kulak Burun Boğaz hastalıkları polikliniğinde 1 Ocak 2017 ile 31 Temmuz 2018 tarihleri arasında başvuran ve tonsillektomi ameliyatı uygulanan 160 pediatrik hasta çalışmaya dahil edildi. Bulgular: Çalışmaya alınan tüm hastalar randomize olarak 4 gruba (soğuk diseksiyon, bipolar koter, koblatör ve termal welding) ayrıldı. Ameliyat süresi, ameliyat sırasındaki kan kaybı ve postoperatif komplikasyonlar kaydedildi. Sonuç: Çalışma sonucunda termal welding ile yapılan operasyonlarda cerrahi süre daha kısaydı. İntraoperatif kanama, postoperatif ağrı termal welding tekniğinde diğer tekniklere göre daha az olduğu tespit edildi. Ayrıca normal diyete ve normal aktiviteye dönüş zamanı en kısa olarak termal welding yönteminde tespit edildi.
BackgroundThere are no studies in the literature, comparing the functional and anatomical successes of the use of fascial and perichondrial grafts in endoscopic type 1 tympanoplasties.ObjectivesTo compare the anatomical and functional outcomes of grafting with the fascia of the temporalis muscle and with the perichondrium of the tragal cartilage in patients undergoing primary transcanal type 1 tympanoplasty with endoscopy.MethodsWe enrolled a total of 151 patients (80 females and 71 males with a mean age of 26.0 ± 9.3 years in the age range between 18-57) with MERI scores ranging from 1 to 3 and who underwent a transcanal endoscopic type 1 tympanoplasty without tympanomeatal flap elevation. The patients were assigned to two groups according to the type of the graft used. The patients were assigned to either the tragal cartilage perichondrium group (Group A) or the fascia of the temporal muscle (Group B). The groups were compared according to the pre- and postoperative air-bone gaps and to the status of the tympanic membrane.ResultsThere were no statistically significant differences in the distribution of the age, gender, localization, MERI scores, the duration of the operation, and the size of the perforation (all p values> 0.05). The pre-operative air-bone gap values of Group A and B did not show a statistically significant difference (p = 0.073). The postoperative improvement in the air-bone gap value did not demonstrate a significant difference between Group A and B (p = 0.202). The graft retention rates were 94.9 and 97.2% in Group A and in Group B respectively. There were no statistically significant differences between the two groups in terms of the graft retention success rates (p = 0.743).ConclusionPerichondrium and fascia were suitable for use in endoscopic tympanoplasties.
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