Ciuman R R
Marienhospital Gelsenkirchen, University Teaching Hospital, Otorhinolaryngology, Gelsenkirchen.
Laryngorhinootologie. 2016 Mar;95(3):171-7. doi: 10.1055/s-0042-101604. Epub 2016 Mar 14.
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.
鼓膜造孔术是德国最常施行的外科手术。它可实现中耳通气并排出中耳分泌物,能立即改善听力,避免鼓膜和鼓室出现并发症及长期病变。每年约有30万例鼓膜切开术,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,本文描述了各种技术,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证、并发症及其治疗方法。