Cremers C W, Teunissen E
Institute of Otorhinolaryngology, University Hospital of Nijmegen, The Netherlands.
Int J Pediatr Otorhinolaryngol. 1991 Jul;22(1):59-74. doi: 10.1016/0165-5876(91)90097-u.
Between 1964 and 1986, 104 ears of 86 patients with a minor congenital ear anomaly underwent an exploratory tympanotomy at the Institute of Otorhinolaryngology of the University Hospital Nijmegen. A classification of these anomalies is proposed based on the surgical findings and results. The 4 groups in this classification are: isolated stapes ankylosis, stapes ankylosis associated with an anomaly of the malleus and incus, an isolated anomaly of the malleus and incus with a mobile stapes footplate and finally, aplasia of the oval and/or round window. In a total of 29 ears (22 patients) out of these 104 ears, the anomaly formed part of a syndrome. The various syndromes and the anomalies encountered are discussed. The impact of a syndromal diagnosis on the outcome of reconstructive ear surgery is discussed per syndrome.
1964年至1986年间，奈梅亨大学医院耳鼻咽喉研究所对86例轻度先天性耳部畸形患者的104只耳朵进行了探查性鼓室切开术。根据手术发现和结果对这些畸形进行了分类。该分类中的4组为：孤立性镫骨固定、与锤骨和砧骨异常相关的镫骨固定、锤骨和砧骨孤立性异常伴镫骨足板活动以及最后椭圆窗和/或圆窗发育不全。在这104只耳朵中，共有29只耳朵（22例患者）的畸形是综合征的一部分。讨论了各种综合征及所遇到的畸形。针对每种综合征讨论了综合征诊断对耳部重建手术结果的影响。
