Magliulo G, Celebrini A, Cuiuli G, Parrotto D, Re M
G Ferreri Department of Otorhinolaryngology, Audiology and Phoniatrics, La Sapienza University, Rome.
J Laryngol Otol. 2007 Dec;121(12):1148-50. doi: 10.1017/S0022215107008766. Epub 2007 May 25.
To present our personal experience of a series of 10 patients suffering from tympanosclerosis with functional blocking of the stapes or footplate, who underwent malleostapedotomy surgery. The criteria for patient selection for this type of operation, and its results and complications, are discussed.
Prospective study.
Incus and malleus dysfunction was observed in 70 per cent of cases, either alone or combined with fixation of the stapes. The post-operative hearing results were considered to be satisfactory (i.e. within 20 dB) in 80 per cent of cases. Only one patient had sensorineural hearing loss over 10 dB.
Malleostapedotomy has proved its practicability in the treatment of patients with fixed footplate or stapes complicated by ankylosis of the incudomalleolar joint. This procedure can be considered a further, valid technique within the otologist's surgical armamentarium.
介绍我们对10例患有镫骨硬化症且镫骨或镫骨底板功能受阻的患者进行镫骨切除术的个人经验。讨论了这类手术的患者选择标准、结果及并发症。
前瞻性研究。
70%的病例观察到砧骨和锤骨功能障碍，可为单独出现或合并镫骨固定。80%的病例术后听力结果被认为是满意的（即听力提高20分贝以内）。只有1例患者感音神经性听力损失超过10分贝。
镫骨切除术已证明其在治疗镫骨底板固定或镫骨固定并伴有砧镫关节强直患者中的实用性。该手术可被视为耳科医生手术方法中的又一种有效技术。
