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镫骨切除术后并发症:人工镫骨在卵圆窗内植入过多

[Postoperative complication in stapedectomy: excessive introduction of the prothesis in the oval window].

作者信息

Sancipriano Hernández J A, Calvo Boizas E, Diego Pérez C, Rodríguez Gutiérrez A, Rincón Esteban L, Gómez Toranzo F

机构信息

Servicio de ORL, Hospital Virgen de la Vega, Salamanca, 37007, España.

出版信息

Acta Otorrinolaringol Esp. 1999 Apr;50(3):219-22.

Abstract

Postoperative failures and complications detected in patients who undergo surgery for otosclerotic disease are not uncommon in stapes surgery. Prosthesis displacement and incus necrosis are the most common findings in review stapedectomy. We report the case of a patient who had tinnitus, vertigo, and non-recovery of air conduction thresholds without neurosensorial lesions after stapes surgery. The suspected diagnosis of excessive introduction of the prosthesis in the oval window was confirmed by computed tomography, which showed the radio-opaque image of the McGee metal prosthesis. The prosthesis replacement and literature review are discussed.

摘要

在接受耳硬化症手术的患者中,术后出现的失败情况和并发症在镫骨手术中并不罕见。假体移位和砧骨坏死是翻修镫骨切除术中最常见的发现。我们报告了一例患者,其在镫骨手术后出现耳鸣、眩晕,且气导阈值未恢复,同时无神经感觉性病变。通过计算机断层扫描证实了椭圆窗内假体植入过多的疑似诊断,该扫描显示了麦吉金属假体的不透射线影像。文中讨论了假体置换及文献回顾。

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