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根治性乳突切除术治疗隐匿性乳突炎(作者译)

[Radical mastoidectomy in the treatment of masked mastoiditis (author's transl)].

作者信息

Treeck H H

出版信息

HNO. 1975 Apr;23(4):109-813.

PMID:1219009
Abstract

Endocranial complications, which are undiagnosed or diagnosed late, present the greatest danger in masked mastoiditis. Inadequate treatment will inevitably result in irreversible and progredient loss of conductive hearing. In children, deterioration of the general condition and disturbances in physical development are frequently the first symptoms indicating mastoid infection. Because its pathohistological specifity, a reliable interruption and elimination of the mastoid infection can only be achieved by radiacal mastoidectomy. Negative criticism of mastoidectomy is not supported by recent clinical results. This paper suggests an early indication of radical mastoidectomy in masked mastoiditis.

摘要

颅内并发症若未被诊断或诊断过晚,是隐匿性乳突炎中最大的危险所在。治疗不充分将不可避免地导致传导性听力不可逆转地进行性丧失。在儿童中,一般状况的恶化和身体发育障碍常常是提示乳突感染的首发症状。由于其病理组织学特性,只有通过根治性乳突切除术才能可靠地阻断并消除乳突感染。近期的临床结果并不支持对乳突切除术的负面批评。本文提出了隐匿性乳突炎中行根治性乳突切除术的早期指征。

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