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CN201160922Y - artificial drum ring - Google Patents

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Publication number
CN201160922Y
CN201160922Y CNU2008200789915U CN200820078991U CN201160922Y CN 201160922 Y CN201160922 Y CN 201160922Y CN U2008200789915 U CNU2008200789915 U CN U2008200789915U CN 200820078991 U CN200820078991 U CN 200820078991U CN 201160922 Y CN201160922 Y CN 201160922Y
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Prior art keywords
ring
artificial
drum
handle
drum ring
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Expired - Lifetime
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CNU2008200789915U
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Chinese (zh)
Inventor
邹艺辉
韩东一
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Chinese PLA General Hospital
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Chinese PLA General Hospital
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Abstract

本实用新型公开了一种人工鼓环,该人工鼓环为一有缺口的圆环,通过模拟鼓环的形状,使人工鼓环可以卡入模拟鼓沟或外耳道壁,压紧移植的人造鼓膜与皮片,使移植物在受压部位与骨壁紧密愈合,或受压后发生坏死,形成瘢痕愈合,从而代替纤维鼓环的作用。通过圆环上的缺口可以调节圆环的大小,从而适应不同的耳道大小,同时也便于卡压部位血管、神经、带蒂皮瓣等从缺口处穿行,以免受压。圆环缺口两端的把手可以使人工鼓环的放置和取出更加便利。把手朝向圆环的内侧,使把手不会影响人工鼓环与耳道壁的紧密贴合。

Figure 200820078991

The utility model discloses an artificial drum ring. The artificial drum ring is a circular ring with a gap. By simulating the shape of the drum ring, the artificial drum ring can be inserted into the simulated tympanic groove or the wall of the external auditory canal to compress the transplanted artificial tympanic membrane. With the skin graft, the graft will heal closely with the bone wall at the compressed part, or necrosis will occur after compression, forming a scar and healing, thereby replacing the role of the fibrous drum ring. The size of the ring can be adjusted through the gap on the ring, so as to adapt to different ear canal sizes, and it is also convenient for blood vessels, nerves, and pedicled flaps at the compression site to pass through the gap to avoid compression. The handles at both ends of the notch of the ring make it easier to place and take out the artificial drum ring. The handle faces the inner side of the ring so that the handle does not interfere with the tight fit of the artificial drum ring to the wall of the ear canal.

Figure 200820078991

Description

人工鼓环 artificial drum ring

技术领域 technical field

本实用新型涉及医疗器械领域,特别涉及一种人工鼓环。The utility model relates to the field of medical equipment, in particular to an artificial drum ring.

背景技术 Background technique

目前,对先天性外耳道闭锁的患者,需要进行外耳道和鼓膜重建,因无鼓沟、鼓环结构,重建的鼓膜(如颞肌筋膜)无法卡入鼓沟中,难以形成正常形态和角度,影响患者听力;同时,因植入外耳道的皮片内侧端无鼓沟、鼓环卡压,局部与骨壁贴附不紧,其深部易有肉芽组织增生,导致重建外耳道再狭窄,致使手术效果不理想甚至失败。At present, for patients with congenital external auditory canal atresia, the external auditory canal and tympanic membrane need to be reconstructed. Because there is no tympanic groove and tympanic ring structure, the reconstructed tympanic membrane (such as temporalis fascia) cannot be stuck into the tympanic groove, and it is difficult to form a normal shape and angle. Affect the patient's hearing; at the same time, because the inner side of the skin graft implanted in the external auditory canal has no tympanic groove and tympanic ring compression, the local part is not tightly attached to the bone wall, and the deep part is prone to granulation tissue hyperplasia, resulting in restenosis of the reconstructed external auditory canal, resulting in poor surgical results. Unsatisfactory or even failed.

另外,对鼓膜穿孔者,进行非夹层法修补时,修补物(如颞肌筋膜)植入后,因外耳道鼓膜瓣不能再卡入鼓沟,鼓膜难以形成正常形态和角度,影响患者听力。In addition, for patients with tympanic membrane perforation, when the non-sandwich method is used for repair, after the prosthesis (such as temporal muscle fascia) is implanted, the tympanic membrane flap of the external auditory canal can no longer be stuck into the tympanic groove, and it is difficult for the tympanic membrane to form a normal shape and angle, which affects the patient's hearing.

综上,由于目前没有适合的鼓环代替物,因此上述两种手术难以得到良好的手术效果。In summary, since there is no suitable substitute for the drum ring at present, it is difficult to obtain good surgical results for the above two operations.

实用新型内容Utility model content

本实用新型实施例提供一种人工鼓环,可以代替鼓环的功能。The embodiment of the utility model provides an artificial drum ring, which can replace the function of the drum ring.

为达到上述目的,本实用新型的技术方案具体是这样实现的:In order to achieve the above object, the technical solution of the utility model is specifically realized in the following way:

一种人工鼓环,该鼓环为含有缺口的圆环。An artificial drum ring is a circular ring with notches.

较佳地,所述圆环缺口两端设有把手。Preferably, handles are provided at both ends of the circular notch.

较佳地,所述把手朝向所述圆环的内侧设置。Preferably, the handle is arranged towards the inner side of the circular ring.

较佳地,所述把手为圆环状。Preferably, the handle is circular.

由上述的技术方案可见,本实用新型的这种人工鼓环通过模拟鼓环的形状,使人工鼓环可以卡入模拟鼓沟或外耳道壁,压紧移植的人造鼓膜与皮片,使移植物在受压部位与骨壁紧密愈合,或受压后发生坏死,形成瘢痕愈合,从而代替纤维鼓环的作用。通过圆环上的缺口可以调节圆环的大小,从而适应不同的耳道大小,同时也便于卡压部位血管、神经、带蒂皮瓣等从缺口处穿行,以免受压。圆环缺口两端的把手供镊子夹持,可以使人工鼓环的放置和取出更加便利。把手朝向圆环的内侧,使把手不会影响人工鼓环与耳道壁的紧密贴合。It can be seen from the above-mentioned technical scheme that the artificial tympanic ring of the utility model simulates the shape of the tympanic ring, so that the artificial tympanic ring can be stuck into the simulated tympanic groove or the wall of the external auditory canal, and presses the transplanted artificial tympanic membrane and skin flap, so that the graft The compressed part is closely healed with the bone wall, or necrosis occurs after compression, forming a scar and healing, thereby replacing the role of the fibrous drum ring. The size of the ring can be adjusted through the gap on the ring, so as to adapt to different ear canal sizes, and at the same time, it is also convenient for blood vessels, nerves, and pedicled flaps at the compression site to pass through the gap to avoid compression. The handles at both ends of the notch of the ring can be held by tweezers, which can make the placement and removal of the artificial drum ring more convenient. The handle faces the inner side of the ring so that the handle does not interfere with the tight fit of the artificial drum ring to the ear canal wall.

附图说明 Description of drawings

图1为本实用新型的人工鼓环立体结构示意图。Fig. 1 is a three-dimensional structural schematic diagram of the artificial drum ring of the present invention.

具体实施方式 Detailed ways

为使本实用新型的目的、技术方案及优点更加清楚明白,以下参照附图并举实施例,对本实用新型进一步详细说明。In order to make the purpose, technical solutions and advantages of the utility model clearer, the utility model will be further described in detail below with reference to the accompanying drawings and examples.

本实用新型实施例主要是使用含有缺口的圆环来模拟鼓环的形态,从而代替鼓环的功能。The embodiment of the utility model mainly uses the circular ring with gaps to simulate the shape of the drum ring, thereby replacing the function of the drum ring.

图1为本实用新型实施例的人工鼓环立体结构示意图,如图1所示,较佳地,该鼓环为一圆环1,外径可为10mm,圆环1上有一缺口,约为圆环1的1/5圆周长度;圆环1的截面为圆形,直径可选为1.5mm;在圆环1的缺口两端设有把手2,把手2可为圆环状,直径约1mm。Fig. 1 is the three-dimensional structure schematic diagram of the artificial drum ring of the utility model embodiment, as shown in Fig. 1, preferably, this drum ring is a circular ring 1, and outer diameter can be 10mm, and there is a gap on the circular ring 1, about 1/5 of the circumference of the ring 1; the cross section of the ring 1 is circular, and the diameter can be 1.5 mm; handles 2 are provided at both ends of the gap of the ring 1, and the handle 2 can be ring-shaped, with a diameter of about 1 mm .

其中,圆环1的外径可以根据情况而定,其截面还可以是椭圆形、矩形或者其他任意多边形状,圆环1的外侧还可以设有锯齿、沟槽等,当置入耳道时,可以增加圆环1与耳道壁之间的摩擦力,使圆环不易滑动。圆环1可以使用任何有弹性和韧性的材料制造,比如医用钛合金和记忆合金等。Wherein, the outer diameter of the ring 1 can be determined according to the situation, and its cross section can also be elliptical, rectangular or other arbitrary polygonal shapes, and the outer side of the ring 1 can also be provided with sawtooth, grooves, etc. , can increase the friction between the ring 1 and the wall of the ear canal, so that the ring is not easy to slide. The ring 1 can be made of any elastic and tough material, such as medical titanium alloy and memory alloy.

圆环1上缺口的长度可以根据需要而定,一般在1/5~1/3圆周长度之间,使圆环1可以根据耳道的大小调整直径,适应不同的耳道大小,也便于卡压部位血管、神经、带蒂皮瓣等从缺口处穿行,以免被圆环1压迫。The length of the gap on the ring 1 can be determined according to the needs, generally between 1/5 to 1/3 of the circumference length, so that the diameter of the ring 1 can be adjusted according to the size of the ear canal, adapting to different ear canal sizes, and is also convenient for clamping Blood vessels, nerves, and pedicled skin flaps at the compression site pass through the gap to avoid being compressed by the ring 1.

圆环1上的把手2用于夹持圆环1,在将圆环1置入鼓沟时,可以方便地使用镊子等工具套进把手2中,将圆环缺口闭合后置入鼓沟,再松开镊子,圆环1即可卡在鼓沟中,取出时,也可利用把手2将圆环1的缺口闭合,从而轻松取出圆环1。把手2可以根据操作工具制作成任意形状,但应尽量保证把手2朝向圆环1的内侧,以免把手2使圆环1不能与耳道壁紧密贴合,影响手术效果。The handle 2 on the ring 1 is used to clamp the ring 1. When placing the ring 1 into the drum groove, it is convenient to use tools such as tweezers to put it into the handle 2, close the gap of the ring and put it into the drum groove. Then loosen the tweezers, and the ring 1 can be stuck in the drum groove. When taking it out, the gap of the ring 1 can also be closed by the handle 2, so that the ring 1 can be easily taken out. The handle 2 can be made into any shape according to the operating tool, but it should be ensured that the handle 2 faces the inner side of the ring 1 as much as possible, so as to prevent the handle 2 from making the ring 1 not fit closely with the ear canal wall and affecting the surgical effect.

具体来说,把手2可以焊接或粘接在圆环1的缺口处,也可以和圆环1一体成型,例如使用圆环1的缺口端绕制而成。Specifically, the handle 2 can be welded or bonded to the notch of the ring 1 , and can also be integrally formed with the ring 1 , for example, wound by using the notch end of the ring 1 .

在进行外耳道重建时,在重建的骨性外耳道内侧端磨制一大小约2~3mm的槽状结构(模拟鼓沟),在移植人造鼓膜(如颞肌筋膜)与外耳道皮片后,将人工鼓环卡入模拟鼓沟,压紧移植的人造鼓膜与皮片,使移植物在槽内受压的部位与骨壁紧密愈合,或受压后发生坏死,形成瘢痕愈合,从而代替纤维鼓环的作用,可使移植的鼓膜和皮片均保持张力,皮片与外耳道骨壁紧密相贴,从而防止从内向外的逐渐变窄,并使再造的鼓膜和外耳道更接近自然状态,获得良好的手术效果。During the reconstruction of the external auditory canal, a groove-like structure (simulating the tympanic groove) with a size of about 2-3 mm is ground on the medial end of the reconstructed bony external auditory canal. The artificial tympanic ring snaps into the simulated tympanic groove, and compresses the transplanted artificial tympanic membrane and skin, so that the compressed part of the graft in the groove heals closely with the bone wall, or necrosis occurs after compression, forming a scar to heal, thereby replacing the fibrous tympanic membrane. The function of the ring can keep the transplanted tympanic membrane and skin flap in tension, and the skin flap is closely attached to the bone wall of the external auditory canal, thereby preventing the gradual narrowing from the inside to the outside, and making the reconstructed tympanic membrane and external auditory canal closer to the natural state, achieving good results. effect of surgery.

在因鼓膜穿孔而进行的非夹层法鼓膜修补术时,因外耳道鼓膜瓣,不能再卡入鼓沟中,可以直接将人工鼓环卡在相当于鼓沟的位置,保持一定的压力,也可以产生相似的效果。In the non-sandwich method of tympanic membrane repair due to tympanic membrane perforation, the tympanic membrane flap of the external auditory canal can no longer be stuck in the tympanic groove, and the artificial drum ring can be directly stuck in the position equivalent to the tympanic groove, and a certain pressure can also be maintained. produce a similar effect.

由上述的实施例可见,本实用新型的这种人工鼓环通过模拟鼓环的形状,使人工鼓环可以卡入模拟鼓沟或外耳道壁,压紧移植的人造鼓膜与皮片,使移植物在受压部位与骨壁紧密愈合,或受压后发生坏死,形成瘢痕愈合,从而代替纤维鼓环的作用。通过圆环上的缺口可以调节圆环的大小,从而适应不同的耳道大小,同时也便于卡压部位血管、神经、带蒂皮瓣等从缺口处穿行,以免受压。圆环缺口两端的把手可以使人工鼓环的放置和取出更加便利。把手朝向圆环的内侧,使把手不会影响人工鼓环与耳道壁的紧密贴合。It can be seen from the above-mentioned embodiments that the artificial drum ring of the utility model simulates the shape of the drum ring, so that the artificial drum ring can be inserted into the simulated tympanic groove or the wall of the external auditory canal, and compresses the transplanted artificial tympanic membrane and skin flap, so that the graft The compressed part is closely healed with the bone wall, or necrosis occurs after compression, forming a scar and healing, thereby replacing the role of the fibrous drum ring. The size of the ring can be adjusted through the gap on the ring, so as to adapt to different ear canal sizes, and at the same time, it is also convenient for blood vessels, nerves, and pedicled flaps at the compression site to pass through the gap to avoid compression. The handles at both ends of the notch of the ring make it easier to place and take out the artificial drum ring. The handle faces the inner side of the ring so that the handle does not interfere with the tight fit of the artificial drum ring to the ear canal wall.

所应理解的是,以上所述仅为本实用新型的较佳实施方式而已,并不用于限定本实用新型的保护范围,凡在本实用新型的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本实用新型的保护范围之内。It should be understood that the above description is only a preferred embodiment of the present utility model, and is not intended to limit the protection scope of the present utility model. Any modifications, Equivalent replacements, improvements, etc., should all be included within the protection scope of the present utility model.

Claims (10)

1, a kind of artificial tympanic ring is characterized in that, this tympanic ring is to contain jagged annulus.
2, artificial tympanic ring as claimed in claim 1 is characterized in that, described annulus breach two ends are provided with handle.
3, artificial tympanic ring as claimed in claim 2 is characterized in that, described handle is provided with towards the inboard of described annulus.
4, artificial tympanic ring as claimed in claim 2 is characterized in that, described handle is circular.
5, artificial tympanic ring as claimed in claim 2 is characterized in that, described handle is that the coiling of described annulus breach end forms.
6, artificial tympanic ring as claimed in claim 2 is characterized in that, described handle and described annulus welding or bonding linking to each other.
7, artificial tympanic ring as claimed in claim 1 or 2 is characterized in that, the cross section of described annulus is circular.
8, artificial tympanic ring as claimed in claim 1 or 2 is characterized in that, the cross section of described annulus is ellipse or polygon.
9, artificial tympanic ring as claimed in claim 1 or 2 is characterized in that, the outside of described annulus is provided with sawtooth or groove.
10, artificial tympanic ring as claimed in claim 1 or 2 is characterized in that, described annulus adopts medical titanium alloy or memorial alloy manufacturing.
CNU2008200789915U 2008-02-05 2008-02-05 artificial drum ring Expired - Lifetime CN201160922Y (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101579266B (en) * 2009-06-10 2011-03-23 中国人民解放军总医院 Prosthesis of posterior wall of external auditory canal
CN110246404A (en) * 2019-06-10 2019-09-17 清华大学 A kind of scientific popularization demonstration device showing human ear structure and working principle

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101579266B (en) * 2009-06-10 2011-03-23 中国人民解放军总医院 Prosthesis of posterior wall of external auditory canal
CN110246404A (en) * 2019-06-10 2019-09-17 清华大学 A kind of scientific popularization demonstration device showing human ear structure and working principle
CN110246404B (en) * 2019-06-10 2021-06-15 清华大学 A popular science display device showing the structure and working principle of the human ear

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Granted publication date: 20081210