Kuniak B, Klacanský J, Profant M
Katedra otorinolaryngológie Lekárskej fakulty UK, Bratislava.
Cesk Otolaryngol. 1990 Apr;39(2):67-70.
At the Otolaryngological Clinic, Faculty Hospital Bratislava since 1971 to 1987 673 microsurgical operations on the stapes were made in patients with otosclerosis, incl. 73 using the method of stapedotomy and interposition of a teflon piston. The method was very successful. Hearing improved in 91.7% of the patients. In no instance marked deterioration of hearing or deafness developed. The surgical operation is associated with a smaller risk of damage to the inner ear. Patients tolerate stapedotomy well and the results are better than after stapedoplasties according to Schuknecht. The decibel gain is more even and at higher frequencies more marked than after stapedectomy. When the piston is used, greater precision and manual skill of the surgeon is essential, as compared with stapedectomy.
自1971年至1987年，在布拉迪斯拉发市立医院耳鼻喉科诊所，对673例耳硬化症患者进行了镫骨显微手术，其中73例采用镫骨切除术并植入聚四氟乙烯活塞。该方法非常成功。91.7%的患者听力得到改善。无一例出现听力明显下降或耳聋。该手术对内耳造成损伤的风险较小。患者对镫骨切除术耐受性良好，根据舒克内希特的研究，其结果优于镫骨成形术。与镫骨切除术相比，使用活塞时，外科医生需要更高的精准度和操作技巧，且分贝增益更均匀，在高频时更明显。
