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[因修复治疗导致的中耳医源性异物]

[Iatrogenic foreign bodies found in the middle ear as a result of prosthetic management].

作者信息

Rydzewski Bogdan, Krokowicz Aleksandra

机构信息

Oddział Otolaryngologiczny Szpitala im. F. Raszei w Poznaniu.

出版信息

Otolaryngol Pol. 2002;56(4):493-9.

Abstract

In the past few months two patients were admitted and operated on for liquid silicone that hardened to form a sponge-like mass after it was accidentally poured into the tympanic cavity during an impression taking procedure. In on case an atrophic eardrum was torn open and in the other the accident was the result of a misdiagnosed chronic otitis. In both cases a tympanoplasty was performed to remove the sponge from the tympanic cavity and to restore the conductive structures in the middle ear. Both cases demonstrate the importance of following the rules of conduct precisely, in taking the prosthetic impressions and the obvious necessity for a thorough primary examination of patients by experienced otologists with a use of a microscope.

摘要

在过去几个月里,有两名患者因液体硅胶硬化形成海绵状肿块而入院接受手术。这些硅胶是在取模过程中意外倒入鼓室后硬化的。其中一例是萎缩性鼓膜被撕开,另一例是误诊为慢性中耳炎导致了这起事故。在这两例中,均进行了鼓室成形术,以从鼓室中取出海绵状肿块并修复中耳的传导结构。这两例均表明,在取义齿印模时严格遵守操作规范非常重要,同时也凸显了经验丰富的耳科医生使用显微镜对患者进行全面初步检查的必要性。

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