Ricalde R R, Portmann D
Institut G. Portmann, 114 avenue d'Arbs, 33074 Bordeaux cedex, France.
Rev Laryngol Otol Rhinol (Bord). 2010;131(4-5):285-8.
The purpose of this report is to describe the symptoms, management and outcomes of three patients who developed infection related complications within one month after stapes surgery. A literature review of early post-operative complications following stapes surgery will also be presented.
Private tertiary medical center.
This is a report of three patients diagnosed with otosclerosis who were operated by the senior author in a span of 16 years from 1993 to 2009.
The first patient was a young man who experienced complications brought about by recurrent upper respiratory tract infection and Eustachian tube dysfunction due to enlarged palatine tonsils. The second patient was a woman who developed acute suppurative otitis media after stapes surgery of the left ear. When she underwent stapes surgery for the right ear, she had an upper respiratory tract infection two days after the procedure. The third patient was a known diabetic female who developed otitis media and had a prolonged recovery despite being managed by an endocrinologist prior to stapes surgery. Two patients fully recovered and hearing eventually improved on the operated side while one patient did not benefit from stapes surgery.
Complications in stapes surgery are very rare in the past and at present. However, complications still happen. Effective, timely medical treatment, vigilance and proper follow-up advice always lead to favourable outcomes.
本报告旨在描述3例镫骨手术后1个月内发生感染相关并发症患者的症状、治疗及预后情况。同时还将对镫骨手术后早期并发症进行文献综述。
私立三级医疗中心。
本文报告了3例被诊断为耳硬化症的患者，均由资深作者在1993年至2009年的16年间进行手术。
首例患者为一名年轻男性，因腭扁桃体肿大导致反复上呼吸道感染及咽鼓管功能障碍而出现并发症。第二例患者为一名女性，左耳镫骨手术后发生急性化脓性中耳炎。当她接受右耳镫骨手术时，术后两天出现上呼吸道感染。第三例患者为已知糖尿病女性，术前虽由内分泌科医生管理，但仍发生中耳炎且恢复时间延长。2例患者完全康复，手术侧听力最终改善，而1例患者未从镫骨手术中获益。
过去和现在，镫骨手术并发症都非常罕见。然而，并发症仍会发生。有效、及时的医疗治疗、警惕性及适当的随访建议总能带来良好的预后。
