Garov E V, Zelenkova V N, Zagorskaia E E, Antonian R G
Vestn Otorinolaringol. 2011(3):41-6.
The authors present immediate and long-term results of stapedoplasty with the use of an auricular autocartilage as a stapes bone prosthesis in 52 patients presenting with mixed (types I and II) otosclerosis. The surgical procedure is described in considerable detail. The average bone-conduction auditory threshold was shown to slightly increase depending on the duration of the disease (less than and over 15 years): by 5 dB and 9 dB in mixed otosclerosis of types I and II respectively. Mean values of the bone-conduction auditory threshold before and after surgery were not significantly different depending on the localization of otosclerotic foci in patients with the mixed (types I and II) disease (affecting the annular ligament and the base of the stapes bone in 20 patients; annular ligament, base of the stapes, and promontory in 32 ones). The average bone-air gap (BAG) in the early and late observation periods did not exceed 10 dB in either form of otosclerosis which suggests high efficacy of the surgical treatment given to the patients in the present study.
作者介绍了在52例患有混合性(I型和II型)耳硬化症的患者中,使用耳廓自体软骨作为镫骨假体进行镫骨手术的近期和长期结果。对手术过程进行了相当详细的描述。平均骨导听阈显示根据疾病持续时间(小于和超过15年)略有增加:I型和II型混合性耳硬化症分别增加5 dB和9 dB。在患有混合性(I型和II型)疾病的患者中,根据耳硬化病灶的位置,术前和术后骨导听阈的平均值没有显著差异(20例患者的环形韧带和镫骨基部受累;32例患者的环形韧带、镫骨基部和岬受累)。在早期和晚期观察期,两种形式的耳硬化症的平均骨气导间距(BAG)均未超过10 dB,这表明本研究中对患者进行的手术治疗具有很高的疗效。