Marquet J E, Declau F, De Cock M, De Paep K, Appel B, Moeneclaey L
Acta Otorhinolaryngol Belg. 1988;42(2):117-302.
After a profound review of normal embryology, a systematical and topographical classification of congenital middle ear malformations in general and of meatal atresia in particular is proposed; the classification of congenital aural atresia is essentially based on the recognition of two types according to the course of the facial nerve in its third segment: in type I, a normal topography of the facial nerve is found and consequently, the middle ear anomalies are rather minimal; in type II, an antero-superior displacement of the facial nerve in its third segment is recognized and the middle ear malformations are considerable worse. In this report, also attention is paid to syndromal nosology and its genetic aspects. In view of functional surgical; reconstruction, the technique of allograft canal surgery, similar to our combined approach tympanoplasty technique, is described in detail and compared with other classical techniques. Preoperative as well as postoperative problems and complications are extensively discussed. The excellent results of our technique are proposed even after 25 years of experience. An overview of cosmetic surgery techniques is given and also alternative techniques with implantable auditory prosthetic materials are summarized.
在对正常胚胎学进行深入回顾之后，提出了先天性中耳畸形尤其是耳道闭锁的系统及局部解剖学分类；先天性耳道闭锁的分类主要基于根据面神经第三段走行识别出的两种类型：在I型中，面神经走行正常，因此中耳异常相当轻微；在II型中，面神经第三段向前上移位，中耳畸形则严重得多。本报告还关注综合征分类学及其遗传学方面。鉴于功能性手术重建，详细描述了与我们的联合进路鼓室成形术技术类似的同种异体移植外耳道手术技术，并与其他经典技术进行了比较。广泛讨论了术前及术后问题和并发症。即使经过25年的经验，我们的技术仍取得了优异的效果。给出了整形手术技术概述，并总结了使用可植入听觉假体材料的替代技术。
