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采用活塞手术与砧骨振动成形术同步治疗中重度耳硬化症。

Treatment of moderate-to-severe otosclerosis with simultaneous piston surgery and incus vibroplasty.

作者信息

Chang Chan-Jung, Wen Yu-Hsuan, Sun Chuan-Hung, Beltrame Millo Achille, Wu Hung-Pin

机构信息

Department of Otolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.

School of Medicine, Tzu Chi University, Hualien, Taiwan.

出版信息

Tzu Chi Med J. 2019 Apr-Jun;31(2):96-101. doi: 10.4103/tcmj.tcmj_176_17.

DOI:10.4103/tcmj.tcmj_176_17
PMID:31007489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6450152/
Abstract

OBJECTIVE

Whereas the nature of otosclerosis has been extensively investigated, treatment modalities in advanced otosclerosis with the sensorineural hearing loss (SNHL) are relatively unexplored.

MATERIALS AND METHODS

This article presents a retrospective case series study of nine patients who received a one-stage piston coupled with Vibrant Soundbridge® vibroplasty in treating otosclerosis with moderate-to-severe SNHL.

RESULTS

The findings suggest that hearing loss could be restored across frequencies and no significant change in the bone-conduction threshold were measured.

CONCLUSION

One-stage piston surgery coupled with incus vibroplasty is a safe procedure and has sufficient efficacy to restore hearing loss in patients with otosclerosis with moderate-to-severe SNHL.

摘要

目的

尽管耳硬化症的本质已得到广泛研究，但对于伴有感音神经性听力损失（SNHL）的晚期耳硬化症的治疗方式相对缺乏探索。

材料与方法

本文呈现了一项回顾性病例系列研究，涉及9例接受一期活塞联合Vibrant Soundbridge®砧骨成形术治疗中度至重度SNHL耳硬化症的患者。

结果

研究结果表明，各频率的听力损失均可恢复，且骨导阈值未测得显著变化。

结论

一期活塞手术联合砧骨成形术是一种安全的手术方法，对于中度至重度SNHL的耳硬化症患者恢复听力损失具有足够的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/0b94ce820ce0/TCMJ-31-96-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/fdceded177f5/TCMJ-31-96-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/c19b6c6db400/TCMJ-31-96-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/04e60590e8d0/TCMJ-31-96-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/6f8058bd9057/TCMJ-31-96-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/d23b3646be13/TCMJ-31-96-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/621cef7be774/TCMJ-31-96-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/0b94ce820ce0/TCMJ-31-96-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/fdceded177f5/TCMJ-31-96-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/c19b6c6db400/TCMJ-31-96-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/04e60590e8d0/TCMJ-31-96-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/6f8058bd9057/TCMJ-31-96-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/d23b3646be13/TCMJ-31-96-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/621cef7be774/TCMJ-31-96-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/6450152/0b94ce820ce0/TCMJ-31-96-g007.jpg

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本文引用的文献

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Otosclerosis: thirty-year follow-up after surgery.耳硬化症：手术后30年随访
Ann Otol Rhinol Laryngol. 2011 Sep;120(9):608-14. doi: 10.1177/000348941112000909.
2
Impact of floating mass transducer coupling and positioning in round window vibroplasty.圆窗声导抗鼓室成形术中浮动质量换能器耦合和定位的影响。
Otol Neurotol. 2011 Feb;32(2):271-7. doi: 10.1097/MAO.0b013e318206fda1.
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Cochlear otosclerosis.耳蜗性耳硬化症
Curr Opin Otolaryngol Head Neck Surg. 2010 Oct;18(5):357-62. doi: 10.1097/MOO.0b013e32833d11d9.
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Coupling the Vibrant Soundbridge to cochlea round window: auditory results in patients with mixed hearing loss.将振动声桥与耳蜗圆窗耦合：混合性听力损失患者的听觉结果
Otol Neurotol. 2009 Feb;30(2):194-201. doi: 10.1097/mao.0b013e318180a495.
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New perspectives for middle ear implants: first results in otosclerosis with mixed hearing loss.中耳植入物的新视角：耳硬化症伴混合性听力损失的初步结果。
Laryngoscope. 2007 Mar;117(3):552-5. doi: 10.1097/MLG.0b013e31802dfc59.
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Vibrant soundbridge middle ear implant in otosclerosis: technique - indication.镫骨硬化症中的振动声桥中耳植入物：技术 - 适应症
Adv Otorhinolaryngol. 2007;65:320-322. doi: 10.1159/000098852.
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Treatment of mixed hearing losses via implantation of a vibratory transducer on the round window.通过在圆窗上植入振动换能器治疗混合性听力损失。
Int J Audiol. 2006 Oct;45(10):600-8. doi: 10.1080/14992020600840903.
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Cochlear implantation of patients with far-advanced otosclerosis.极重度耳硬化症患者的人工耳蜗植入术
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Cochlear implantation in 53 patients with otosclerosis: demographics, computed tomographic scanning, surgery, and complications.53例耳硬化症患者的人工耳蜗植入：人口统计学、计算机断层扫描、手术及并发症
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Incidence, location and extent of otosclerotic lesions.
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