Cheng Horace C S, Agrawal Sumit K, Parnes Lorne S
Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Otolaryngol Clin North Am. 2018 Apr;51(2):375-392. doi: 10.1016/j.otc.2017.11.008. Epub 2018 Feb 3.
Stapedectomy and stapedotomy represent the state-of-the-art surgical procedures in addressing the conductive hearing loss caused by otosclerosis. Their high rates of success and long-term stability have been demonstrated repeatedly in many studies. In comparing the short- and long-term results of the 2 procedures, it is evident that stapedotomy confers better hearing gain at high frequencies and lower complication rates. Modified stapes mobilization procedures may represent the next major development in stapes surgery in a selected patient population.
镫骨切除术和镫骨足板开窗术是治疗耳硬化症所致传导性听力损失的先进外科手术。许多研究反复证明了它们的高成功率和长期稳定性。在比较这两种手术的短期和长期结果时，很明显镫骨足板开窗术在高频段能带来更好的听力改善，且并发症发生率更低。改良镫骨松动术可能代表了特定患者群体镫骨手术的下一个重大进展。
