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中耳乳突根治术联合Ⅰ型鼓室成形术的治疗效果

Therapeutic outcomes of canal wall up mastoidectomy in combination with Type I tympanoplasty in otitis media.

作者信息

Zhang Liansheng

机构信息

Liansheng Zhang, Department of Otolaryngology, Zhumadian Center Hospital, Henan, 463000, China.

出版信息

Pak J Med Sci. 2016 May-Jun;32(3):565-9. doi: 10.12669/pjms.323.9780.

DOI:10.12669/pjms.323.9780
PMID:27375690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4928399/
Abstract

OBJECTIVE

To evaluate the therapeutic effects in terms of disease clearance and hearing improvement of canal wall up mastoidectomy in combination with Type I tympanoplasty in otitis media.

METHODS

A total of 78 patients (81 ears) with otitis media were treated by canal wall up mastoidectomy in combination with Type I tympanoplasty. The postoperative tympanic membrane morphology, average of pure-tone hearing thresholds and average air-bone gap were used as the indices for evaluating therapeutic effects.

RESULTS

The patients were followed up for two years in average. All the tympanic membranes recovered, with the ear canals being dry. There were five cases (5 ears) of tympanic membrane retraction and one case of otitis media recurrence. Hearing was effectively recovered by 76.54% (62/81) after surgery.

CONCLUSION

Combining canal wall up mastoidectomy with Type I tympanoplasty can treat otitis media safely and effectively due to high postoperative dry ear canal rate, satisfactory reconstruction of hearing and maintenance of ear morphology.

摘要

目的

评估外耳道上壁保留式乳突根治术联合Ⅰ型鼓室成形术治疗中耳炎在疾病清除和听力改善方面的治疗效果。

方法

78例（81耳）中耳炎患者接受了外耳道上壁保留式乳突根治术联合Ⅰ型鼓室成形术治疗。术后鼓膜形态、纯音听阈均值和气骨导间距均值作为评估治疗效果的指标。

结果

患者平均随访2年。所有鼓膜均恢复，耳道干燥。有5例（5耳）鼓膜内陷，1例中耳炎复发。术后76.54%（62/81）的患者听力得到有效恢复。

结论

外耳道上壁保留式乳突根治术联合Ⅰ型鼓室成形术治疗中耳炎安全有效，术后耳道干燥率高，听力重建效果满意，耳部形态得以维持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f41c/4928399/c8c8707fe8dc/PJMS-32-565-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f41c/4928399/17beca9fbc23/PJMS-32-565-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f41c/4928399/3aa7e0bb6077/PJMS-32-565-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f41c/4928399/c8c8707fe8dc/PJMS-32-565-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f41c/4928399/17beca9fbc23/PJMS-32-565-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f41c/4928399/3aa7e0bb6077/PJMS-32-565-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f41c/4928399/c8c8707fe8dc/PJMS-32-565-g003.jpg

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