Zaidi S H
Head and Neck Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
J Laryngol Otol. 1989 Sep;103(9):819-22. doi: 10.1017/s0022215100110205.
This is an anthropological study of the development of the mastoid process in the four ethnic groups of Pakistani races: Turko-Iranian, Indo-Aryan, Scytho-Dravidian, and Aryo-Dravidian. Cephalometric studies have established that the majority of Pakistanis are brachio to ultra-brachiocephalic (Cephalic Index 82-x). Radiological evaluation of normal mastoids and their planimetric measurements show that the mastoid process is smaller (Av: 10.24 sq.cm. +/- 0.8) than the Caucasian Western races (Av: 12-15 sq.cm.). Neither combined approach tympanoplasty, nor mastoid obliteration technique may be required, nor technically possible in a small mastoid. Natural epithelization of a small 'peanut size' mastoidectomy cavity does not justify these procedures. A modified radical mastoidectomy and tympanoplasty reconstruction provides a satisfactory result in chronic discharging ears.
这是一项关于巴基斯坦四个种族群体（突厥 - 伊朗人、印度 - 雅利安人、斯基泰 - 达罗毗荼人以及雅利安 - 达罗毗荼人）乳突发育的人类学研究。头影测量研究表明，大多数巴基斯坦人属于短头至超短头型（头指数82 - x）。对正常乳突的放射学评估及其平面测量显示，乳突比高加索西方种族的要小（平均：10.24平方厘米±0.8）（高加索西方种族平均为12 - 15平方厘米）。在小乳突中，联合入路鼓室成形术和乳突闭塞技术可能既不需要，在技术上也不可行。小“花生大小”的乳突切除腔自然上皮化并不足以证明这些手术的合理性。改良根治性乳突切除术和鼓室成形术重建对慢性流脓耳能提供令人满意的效果。
