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先天性耳道闭锁的重建手术

Reconstructive procedures for congenital aural atresia.

作者信息

Schuknecht H F

出版信息

Arch Otolaryngol. 1975 Mar;101(3):170-2. doi: 10.1001/archotol.1975.00780320028006.

DOI:10.1001/archotol.1975.00780320028006
PMID:1120000
Abstract

The three surgical methods currently in use to improve hearing for patients with congenital aural atresia are fenestration of the lateral semicircular canal, canal plasty, and type III tympanoplasty. Because the surgery is difficult and the functional rewards are modest, it should ordinarily be reserved for patients with bilateral atresia. Of the 12 ears operated by the technique of type III tympanoplasty, the average gain in hearing was 22 dB, with seven attaining a 30 dB or better air-conduction threshold. When aural rehabilitative and cosmetic surgery are contemplated, coordinated planning by the surgeons is necessary to acquire the best end result.

摘要

目前用于改善先天性耳道闭锁患者听力的三种手术方法是外侧半规管开窗术、耳道成形术和III型鼓室成形术。由于手术难度大且功能改善有限,通常应仅用于双侧闭锁的患者。采用III型鼓室成形术技术进行手术的12只耳朵中,听力平均提高了22分贝,其中7只耳朵的气导阈值达到了30分贝或更好。当考虑进行听觉康复和整形手术时,外科医生需要进行协调规划以获得最佳的最终结果。

相似文献

1
Reconstructive procedures for congenital aural atresia.先天性耳道闭锁的重建手术
Arch Otolaryngol. 1975 Mar;101(3):170-2. doi: 10.1001/archotol.1975.00780320028006.
2
Congenital aural atresia. A new subclassification and surgical management.先天性耳道闭锁。一种新的亚分类及手术治疗方法。
Clin Otolaryngol Allied Sci. 1984 Apr;9(2):119-27. doi: 10.1111/j.1365-2273.1984.tb01484.x.
3
[Effect of surgical reconstruction of congenital aural atresia via the mastoid antrum approach: analysis of 48 cases].[经乳突窦入路手术重建先天性外耳道闭锁的效果:48例分析]
Nan Fang Yi Ke Da Xue Xue Bao. 2009 May;29(5):1057-9.
4
[Fenestration of semicircular canal for congenital microtia].[先天性小耳畸形的半规管开窗术]
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(6):334-5, 380.
5
Congenital aural atresia: transmastoid approach; an old technique with good results.先天性耳道闭锁:经乳突入路;一项效果良好的古老技术。
Int J Pediatr Otorhinolaryngol. 2008 Jul;72(7):1047-52. doi: 10.1016/j.ijporl.2008.03.011. Epub 2008 May 5.
6
Surgical treatment of congenital aural atresia.
Am J Otol. 1985 May;6(3):247-9.
7
[Congenital atresia of the external auditory canal].
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1999 Apr;34(2):89-91.
8
Fenestration tympanoplasty: an adjunctive technique for hearing restoration.开窗式鼓室成形术:一种听力恢复的辅助技术。
Otolaryngol Head Neck Surg (1979). 1979 May-Jun;87(3):366-71. doi: 10.1177/019459987908700316.
9
Surgical management of congenital aural atresia.先天性外耳道闭锁的外科治疗
Laryngoscope. 1994 May;104(5 Pt 1):606-11. doi: 10.1002/lary.5541040514.
10
Application of modified transmastoid approach methods to congenital atresia of the external ear canal with middle ear infection.改良经乳突入路方法在伴有中耳感染的先天性外耳道闭锁中的应用。
Acta Otolaryngol Suppl. 2004 Oct(554):38-44. doi: 10.1080/03655230410018390.

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