Barrett George, Koecher Susanne, Ronan Natalie, Whinney David
Department ENT Head and Neck Surgery, Royal Cornwall Hospital, Truro TR1 3LJ, UK.
Int J Otolaryngol. 2014;2014:851980. doi: 10.1155/2014/851980. Epub 2014 Sep 24.
Introduction. Controversy exists over the optimum incision placement when performing ear surgery via the postauricular approach. Little is known about the impact of incision placement on future comfort in wearing audio or visual aids or the effect on the minor auricular muscles cut in the approach. Objective. (1) To establish patient satisfaction with their postauricular surgical incision, and to establish the impact on comfort wearing hearing or visual aids. (2) To establish whether patients' voluntary ear movements were affected by surgery. Materials and Methods. In January 2014, questionnaires were sent to 81 patients who underwent mastoid surgery requiring a postauricular incision between January 2004 and December 2012. The incision placement was broadly the same for all patients as they were operated on by the same surgeon (or under his supervision). The incision is sited far posteriorly at the hairline. Results. 42 (52%) of the patients contacted responded. 80% of patients wearing glasses reported no discomfort or problems associated with their incision. 82% of patients who wear hearing aids were comfortable. Only 1 of the 5 patients who could move their ears preoperatively noticed a change afterwards. Conclusion. A hairline incision is well tolerated by most of the patients.
引言。通过耳后入路进行耳部手术时，关于最佳切口位置存在争议。关于切口位置对未来佩戴听觉或视觉辅助设备舒适度的影响，以及对该入路中切断的耳小肌的影响，人们了解甚少。目的。（1）确定患者对其耳后手术切口的满意度，并确定对佩戴听力或视觉辅助设备舒适度的影响。（2）确定患者的自主耳部运动是否受到手术影响。材料与方法。2014年1月，向2004年1月至2012年12月期间接受需要耳后切口的乳突手术的81名患者发送了问卷。由于所有患者均由同一位外科医生（或在其监督下）进行手术，因此切口位置大致相同。切口位于发际线后方很远的位置。结果。42名（52%）被联系的患者做出了回应。80%佩戴眼镜的患者表示其切口没有不适或相关问题。82%佩戴助听器的患者感觉舒适。术前能够移动耳朵的5名患者中只有1名术后注意到有变化。结论。大多数患者对发际线切口耐受性良好。
