Fina Manuela, Chieffe Douglas
Department of Otolaryngology, University of Minnesota, Minneapolis, MN, USA.
Department of Otolaryngology, University of Minnesota, Minneapolis, MN, USA.
Otolaryngol Clin North Am. 2019 Jun;52(3):497-507. doi: 10.1016/j.otc.2019.02.004. Epub 2019 Mar 22.
Endoscopy has changed the practice of otology in both operative and clinic settings. Endoscopes increase the visibility of anterior tympanic perforations expanding the criteria for in-office repair. Endoscopic myringoplasty techniques using tissue-engineered grafts and porcine-based extracellular grafts are described. Endoscopic inspection of deep retraction pockets is a new important tool for pre-operative surgical assessment. This section also discusses the use and potential benefits of intratympanic injections for sudden sensorineural hearing loss and Meniere's disease.
内镜检查在手术和临床环境中都改变了耳科学的实践。内镜提高了鼓膜前穿孔的可视性,扩大了门诊修复的标准。描述了使用组织工程移植物和猪源性细胞外移植物的内镜鼓膜成形术技术。内镜检查深部内陷袋是术前手术评估的一项重要新工具。本节还讨论了鼓室内注射治疗突发性感音神经性听力损失和梅尼埃病的用途及潜在益处。