咽鼓管的病理生理学——头颈外科医生需要了解的相关新进展
Pathophysiology of the Eustachian tube--relevant new aspects for the head and neck surgeon.
作者信息
Sehhati-Chafai-Leuwer Susanne, Wenzel Sören, Bschorer Reinhard, Seedorf Hartwig, Kucinski Thomas, Maier Hannes, Leuwer Rudolf
机构信息
Department of Oral and Maxillofacial Surgery, University of Hamburg Medical School, Germany.
出版信息
J Craniomaxillofac Surg. 2006 Sep;34(6):351-4. doi: 10.1016/j.jcms.2006.03.006. Epub 2006 Jul 21.
OBJECTIVES
The impact of cranio-maxillofacial procedures upon Eustachian tube function is still largely unknown. The aim of this presentation is to depict new aspects of Eustachian tube function and to demonstrate its importance to cranio-maxillofacial surgery.
METHODS
Two different groups of patients were examined both clinically and by MRI of the Eustachian tube region. One of these groups comprised 15 adult patients with a history of cleft palate; another consisted of 32 patients with a history of a so-called patulous Eustachian tube.
RESULTS
Clinical and MRI-findings revealed that the problem of persistent chronic middle ear disease with cleft palate patients depends crucially on the integrity of the pterygoid hamulus and of the tensor veli palatini muscle after cleft palate repair. The masticatory muscles on the other hand also play an important role in Eustachian tube function in non-cleft patients.
CONCLUSION
The maxillofacial surgeon should be aware that he holds a key position for preventing as well as treating Eustachian tube pathophysiology.
目的
颅颌面手术对咽鼓管功能的影响在很大程度上仍不为人知。本报告的目的是描述咽鼓管功能的新方面，并证明其对颅颌面外科手术的重要性。
方法
对两组不同的患者进行了临床检查以及咽鼓管区域的磁共振成像（MRI）检查。其中一组包括15名有腭裂病史的成年患者；另一组由32名有所谓咽鼓管异常开放病史的患者组成。
结果
临床和MRI检查结果显示，腭裂患者持续性慢性中耳疾病的问题关键取决于腭裂修复后翼钩和腭帆张肌的完整性。另一方面，咀嚼肌在非腭裂患者的咽鼓管功能中也起着重要作用。
结论
颌面外科医生应意识到，在预防和治疗咽鼓管病理生理学方面，他处于关键地位。
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