Schwager K
Klinik für Hals-Nasen-Ohrenkrankheiten, Kopf-, Hals- und Plastische Gesichtschirurgie, Kommunikationsstörungen, Klinikum Fulda gAG, Pacelliallee 4, 36043, Fulda.
HNO. 2007 Apr;55(4):307-15; quiz 316-7. doi: 10.1007/s00106-006-1527-z.
Due to the unusual anatomical situation in the middle ear, there are a variety of possible complications that may occur during tympanoplasty. Dislocation of the ossicular chain with and without opening of the labyrinth, injuries to the facial nerve and hemorrhage from large arteries and veins may occur. Adequate management of these complications is necessary in order to avoid further damage for the patient. The first question in case of an acute complication is always whether it is possible to stop the operation. It is also important to determine the time to react, e.g. if an injury of the facial nerve is assumed, when a revision needs to be performed. It also should be considered to refer the patient to a colleague who is not as emotionally involved in the case as the primary surgeon.
由于中耳解剖结构特殊，鼓室成形术期间可能会出现多种并发症。听骨链脱位（伴或不伴迷路开放）、面神经损伤以及大动静脉出血都可能发生。为避免给患者造成进一步损害，妥善处理这些并发症很有必要。遇到急性并发症时，首要问题始终是能否停止手术。确定反应时机也很重要，例如，如果怀疑有面神经损伤，何时需要进行翻修手术。还应考虑将患者转诊给一位不像主刀医生那样在情感上过度卷入该病例的同事。
