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对植入自卷曲镍钛诺镫骨假体的镫骨切除术后结果的回顾性分析。

Retrospective analysis of outcomes after stapedotomy with implantation of a self-crimping Nitinol stapes prosthesis.

作者信息

Sorom Abraham J, Driscoll Colin L W, Beatty Charles W, Lundy Larry

机构信息

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Otolaryngol Head Neck Surg. 2007 Jul;137(1):65-9. doi: 10.1016/j.otohns.2007.01.007.

DOI:10.1016/j.otohns.2007.01.007
PMID:17599567
Abstract

OBJECTIVE

To review hearing results after implantation of a self-crimping stapes prosthesis.

STUDY DESIGN AND SETTING

Analysis of hearing results in patients implanted with a self-crimping stapes prosthesis at two academic hospitals from 2000 to 2004.

RESULTS

Seventy-nine ears were divided into short-term and intermediate follow-up groups. The mean postoperative air-bone gap (ABG), preoperative minus postoperative ABG, and preoperative minus postoperative bone conduction values were 5.7, 21.4, and 4.1 dB, respectively, for the short-term group, and 6.3, 22.3, and 4.7 dB, respectively, for the intermediate group. The ABG was <10 dB in 88 percent of the short-term group and in 79 percent of the intermediate group.

CONCLUSIONS

The self-crimping Nitinol stapes prosthesis provides excellent short-term and intermediate postoperative hearing results, and may overcome the limitations of stapes prostheses requiring manual crimping.

SIGNIFICANCE

This paper provides evidence for the use of a self-crimping Nitinol stapes prosthesis, which may simplify hearing restoration surgery for stapes fixation.

摘要

目的

回顾自卷曲镫骨假体植入后的听力结果。

研究设计与背景

对2000年至2004年在两家学术医院植入自卷曲镫骨假体的患者的听力结果进行分析。

结果

79只耳朵被分为短期和中期随访组。短期组术后平均气骨导间距(ABG)、术前减去术后ABG以及术前减去术后骨导值分别为5.7 dB、21.4 dB和4.1 dB,中期组分别为6.3 dB、22.3 dB和4.7 dB。短期组88%以及中期组79%的患者ABG<10 dB。

结论

自卷曲镍钛合金镫骨假体术后短期和中期听力结果良好,可能克服了需要手动卷曲的镫骨假体的局限性。

意义

本文为使用自卷曲镍钛合金镫骨假体提供了证据,这可能简化镫骨固定的听力恢复手术。

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