Ciuman R R
Marienhospital Gelsenkirchen, University Teaching Hospital, Otorhinolaryngology, Gelsenkirchen.
Klin Padiatr. 2015 Mar;227(2):54-60. doi: 10.1055/s-0034-1398537. Epub 2015 Mar 9.
Tympanostomy is the most frequently performed surgery procedure in Germany. It enables middle ear ventilation and discharge of secretion from the middle ear with immediate hearing improvement and avoidance of complications and long-term pathologies of the tympanic membrane and the tympanum. The economical importance is emphasized by the fact that about 300,000 myringotomies are performed yearly. The best type of middle ear drainage and ventilation should be chosen on a case-by-case basis. In this context, the various techniques like conventional myringotomy, laser-myringotomy, short-term and long-term tympanostomy tubes and indications, complications and their treatments are described.
鼓膜切开术是德国最常施行的外科手术。它能实现中耳通气，排出中耳分泌物，可立即改善听力，并避免鼓膜和鼓室出现并发症及长期病变。每年约进行30万次鼓膜切开术，这一事实凸显了其经济重要性。应根据具体情况选择最佳的中耳引流和通气方式。在此背景下，将描述各种技术，如传统鼓膜切开术、激光鼓膜切开术、短期和长期鼓膜造孔管以及适应症、并发症及其治疗方法。
