Lou L, Zhu J, Lv D, Chen Q R, Yang J M, Qin X L
Department of Otolaryngology-Head and Neck Surgery,West China Hospital,Sichuan University,Chengdu,610041,China.
Department of Otolaryngology,Tianfu New Area People's Hospital of Chengdu.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Jul 5;30(13):1068-1071. doi: 10.13201/j.issn.1001-1781.2016.13.016.
To our experience of modified radical mastoidectomy on "drum sinus" type chronic suppurative otitis media.We measured the size of tympanic sinus,the extent of meningeal plate lowering and the extent of sigmoid ante-displacement in 54 patients of chronic suppurative otitis media,and determined the criterion of "drum sinus".The patients who comply with the criterion received modified radical mastoidectomy and tympanoplasty via epitympanum approach.The patients were followed up for at least 3 months,The time of dry ear,growth of repaired tympanic membrane,and any complications such as dizziness,facial paralysis,cerebrospinal fluid leakage were recorded.Twenty-nine out of the 54 CSOM patients complied with the criterion of drum sinus.Two cases were lost to follow-up.Therefore,27 cases were included in the study.Three months after the operation,the rate of dry ear was 81.5% Tympanic membrane was successfully repaired in 77.8% of the patients.Three cases had dizziness after operation.No facial paralysis or cerebrospinal fluid leakage was observed.For"drum sinus" type chronic suppurative otitis media,the modified radical mastoidectomy and tympanoplasty via epitympanum approach can be taken.
关于我们对“鼓窦型”慢性化脓性中耳炎行改良乳突根治术的经验。我们测量了54例慢性化脓性中耳炎患者的鼓窦大小、脑膜板降低程度和乙状窦前移程度，并确定了“鼓窦”的标准。符合该标准的患者采用经上鼓室入路行改良乳突根治术和鼓室成形术。对患者进行至少3个月的随访，记录干耳时间、鼓膜修复生长情况以及头晕、面瘫、脑脊液漏等任何并发症。54例慢性化脓性中耳炎患者中有29例符合鼓窦标准。2例失访。因此，27例纳入研究。术后3个月，干耳率为81.5%，77.8%的患者鼓膜成功修复。3例术后出现头晕。未观察到面瘫或脑脊液漏。对于“鼓窦型”慢性化脓性中耳炎，可采用经上鼓室入路的改良乳突根治术和鼓室成形术。
