镫骨切除术翻修术
Revision stapedectomy.
作者信息
De La Cruz A, Fayad J N
机构信息
House Ear Clinic and House Ear Institute, Los Angeles, California, USA.
出版信息
Otolaryngol Head Neck Surg. 2000 Dec;123(6):728-32. doi: 10.1067/mhn.2000.111285.
OBJECTIVE
To evaluate results of revision stapedectomy with and without use of the laser and determine factors predictive of hearing outcome.
STUDY DESIGN AND SETTING
Retrospective review of 356 revision stapedectomy operations performed at the House Ear Clinic, a tertiary neurotologic private practice, between 1983 and 1995.
RESULTS
A postoperative gap of < or =10 dB was obtained in 60% of cases. Results were similar with and without the use of a laser. Sensorineural hearing loss of >10 dB occurred in 7.7%, with 3 (1.4%) ears with profound hearing loss. A poorer outcome was related to incus necrosis, multiple revisions, and indications for surgery other than conductive hearing loss.
CONCLUSION
Revision stapedectomy can provide good gap closure in 60% of cases, with small risk of sensorineural hearing loss.
SIGNIFICANCE
Although not as satisfactory as primary stapedectomy, revision stapedectomy can be offered to patients with reasonable expectations for good gap closure.
目的
评估使用激光和不使用激光进行镫骨手术翻修的结果，并确定听力结果的预测因素。
研究设计与背景
对1983年至1995年间在一家三级神经耳科私人诊所豪斯耳科诊所进行的356例镫骨手术翻修病例进行回顾性研究。
结果
60%的病例术后听力差距≤10 dB。使用激光和不使用激光的结果相似。感音神经性听力损失>10 dB的发生率为7.7%，3只耳（1.4%）出现严重听力损失。较差的结果与砧骨坏死、多次翻修以及除传导性听力损失以外的手术指征有关。
结论
镫骨手术翻修在60%的病例中可实现良好的听力差距闭合，感音神经性听力损失风险较小。
意义
尽管不如初次镫骨手术令人满意，但对于期望实现良好听力差距闭合的患者，可提供镫骨手术翻修。
Zotero 插件