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鼓室-鼻咽分流术。一种中耳通气的新方法。

Tympano-nasopharyngeal shunt operation. A new method of middle ear ventilation.

作者信息

Misurya V K

出版信息

J Laryngol Otol. 1975 Feb;89(2):189-97. doi: 10.1017/s0022215100080257.

DOI:10.1017/s0022215100080257
PMID:1168236
Abstract

The tympano-nasopharyngeal shunt operation is recommended as a "substitute" Eustachian tube. An experimental study regarding the efficacy of tympano-nasopharyngeal shunt operation was conducted in two dogs. Finally, four patients with complete tubal stenosis were operated on by this new method within a period of one year, with no postoperative complications. The hearing improved and patients were able to inflate their middle ears. The method is claimed to have the following advantages: permanent ventilation of the middle ear with preservation of an intact drum; the middle-ear pressure can be increased by Valsalva or Politzer manoeuvres; moderate technical difficulties; no risk of postoperative complications; and suitable in children as well as adults. The disadvantages seem to be: drainage not ensured; minor risk of ascending infection.

摘要

鼓室 - 鼻咽分流术被推荐作为咽鼓管的“替代物”。在两只狗身上进行了关于鼓室 - 鼻咽分流术疗效的实验研究。最终,在一年时间内,有四名完全性咽鼓管狭窄患者接受了这种新方法的手术,术后无并发症。听力得到改善,患者能够对中耳进行充气。该方法据称具有以下优点:中耳永久性通气且鼓膜保持完整;可通过瓦尔萨尔瓦动作或波利策尔手法增加中耳压力;技术难度适中;无术后并发症风险;适用于儿童和成人。其缺点似乎是:引流无法保证;有轻微的上行感染风险。

相似文献

1
Tympano-nasopharyngeal shunt operation. A new method of middle ear ventilation.鼓室-鼻咽分流术。一种中耳通气的新方法。
J Laryngol Otol. 1975 Feb;89(2):189-97. doi: 10.1017/s0022215100080257.
2
The tympano-frontal shunt: a procedure for the treatment of chronic Eustachian tube insufficiency.
Laryngoscope. 1975 Jan;85(1):100-12. doi: 10.1288/00005537-197501000-00008.
3
Physiological tympanostomy. A new technique of middle ear ventilation.
J Laryngol Otol. 1975 Dec;89(12):1285-9. doi: 10.1017/s0022215100081640.
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Tympanomaxillary shunt. A new method of middle ear ventilation.鼓室上颌分流术。一种中耳通气的新方法。
Arch Otolaryngol. 1969 Aug;90(2):122-8. doi: 10.1001/archotol.1969.00770030124005.
5
Early clinical experience in construction of a substitute eustachian tube.人工咽鼓管构建的早期临床经验。
Otolaryngol Clin North Am. 1970 Feb;3(1):119-30.
6
Ventilation in secretory otitis media: effects on middle ear volume and eustachian tube function.分泌性中耳炎的通气:对中耳容积和咽鼓管功能的影响。
Arch Otolaryngol. 1977 Apr;103(4):228-31. doi: 10.1001/archotol.1977.00780210084010.
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Eustachian tube bypass: experimental evidence for total eustachian tube substitution.咽鼓管旁路:咽鼓管完全替代的实验证据
Otolaryngology. 1978 May-Jun;86(3 Pt 1):ORL498-505. doi: 10.1177/019459987808600323.
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[The original method for bypass surgery of the tympanic cavity to treat chronic dysfunction of the Eustachian tube].[治疗咽鼓管慢性功能障碍的鼓室旁路手术的原始方法]
Vestn Otorinolaringol. 2015;80(3):40-44. doi: 10.17116/otorino201580340-44.
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Reconstruction of the Eustachian tube and the anterior tympanum: planned staged tubo-tympanoplasty.咽鼓管及鼓室前部重建:计划性分期鼓室成形术
Laryngoscope. 1985 Mar;95(3):330-4. doi: 10.1288/00005537-198503000-00019.
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Middle ear ventilation in conjunction with adenotonsillectomy.中耳通气联合腺样体扁桃体切除术。
Laryngoscope. 1979 Nov;89(11):1760-3. doi: 10.1288/00005537-197911000-00007.

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