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[乳突根治术同期重建外耳道后壁及鼓膜修补术的疗效观察]

[Observation of curative effect of radical mastoidectomy with rebuilding back wall of external and defect tympanoplasty].

作者信息

Chen X, Jin S

机构信息

Department of Otolaryngology, First Hospital of Wenling City, Zhejiang 317500.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 1999 Apr;13(4):150-1.

Abstract

OBJECTIVE

To manage the back wall defect of external acoustic canal and opened mastoid cavity which was remained from radical mastoidectomy.

METHOD

31 ears with cholesteatomatous otitis media and 3 ears with skeletal ulcer were treated by primary operation which consisted of radical mastoidectomy with rebuilding back wall of external canal and tympanoplasty.

RESULT

All cases were followed up for 5 years. And all of external anditory canal are normal in appearance. Sixteen ears reached auditory level for social interaction and another 16 for functional audition.

CONCLUSION

The Primary operation that we mentioned above may resolve some problems such as mastoid cavity or big external canal which were remained from radical mastoidectomy. It is effective to improve hearing.

摘要

目的

处理外耳道后壁缺损及乳突根治术后遗留的开放乳突腔。

方法

对31例胆脂瘤型中耳炎患者及3例骨疡型患者行一期手术,手术包括乳突根治术并重建外耳道后壁及鼓室成形术。

结果

所有病例均随访5年。所有外耳道外观正常。16耳达到社交聆听水平,另16耳达到功能性听力水平。

结论

上述一期手术可解决乳突根治术后遗留的一些问题,如乳突腔或宽大外耳道等。对提高听力有效。

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