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.
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.
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。
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