咽鼓管经鼓室扩张术中颈动脉管的安全性：一项尸体初步研究
Safety of Carotid Canal during Transtympanic Dilatation of the Eustachian Tube: A Cadaver Pilot Study.
作者信息
Kapadia Mustafa, Tarabichi Muaaz, Najmi Murtaza, Hamza Mahmoud
机构信息
Department of Otolaryngology, American Hospital Dubai, Dubai, United Arab Emirates.
Department of ENT and Head and Neck Surgery, American Hospital, Oud Mehta Road, PO BOX 5566, Dubai, United Arab Emirates.
出版信息
Indian J Otolaryngol Head Neck Surg. 2018 Jun;70(2):211-217. doi: 10.1007/s12070-017-1063-z. Epub 2017 Jan 11.
To assess the safety of Transtympanic balloon dilatation of the cartilaginous proximal Eustachian tube under endoscopic guidance as it relates to the integrity of the carotid canal in cadaver model. Endoscopic guided Transtympanic dilatations of the cartilaginous proximal end of the Eustachian tube were performed in 15 ears of 8 fresh frozen cadaver heads. CT scans were done before and after dilatation. Images were reviewed by two otologists and one radiologist. Balloon catheter placement and dilatation of the proximal Eustachian tube was feasible in all specimens. Endoscopic examination post dilatation showed a consistent increase in the aperture of the proximal cartilaginous tube in all ears. Review of CT images after dilatation showed no evidence of trauma to the carotid canal in all ears instrumented. Endoscopically guided Transtympanic dilatation of the proximal Eustachian tube is not associated with damage to the carotid canal in cadaver model. : 4.
在尸体模型中，评估内镜引导下经鼓膜对咽鼓管软骨部近端进行球囊扩张术与颈动脉管完整性相关的安全性。对8个新鲜冷冻尸体头部的15只耳朵进行了内镜引导下经鼓膜对咽鼓管软骨部近端的扩张术。扩张前后均进行了CT扫描。由两名耳科医生和一名放射科医生对图像进行了评估。在所有标本中，球囊导管放置和咽鼓管近端扩张均可行。扩张后的内镜检查显示，所有耳朵的近端软骨管孔径均持续增大。对扩张后的CT图像评估显示，所有接受手术的耳朵均无颈动脉管损伤的迹象。在内镜引导下经鼓膜对咽鼓管近端进行扩张术在尸体模型中与颈动脉管损伤无关。 ：4。
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