小儿内镜耳外科手术原则
Principles of Pediatric Endoscopic Ear Surgery.
作者信息
Miller Kimberly A, Fina Manuela, Lee Daniel J
机构信息
Department of Otolaryngology, University of Minnesota, Minneapolis, MN, USA.
Department of Otolaryngology, University of Minnesota, 420 Delaware Street Southeast, MMC 396, Minneapolis, MN 55455, USA; HealthPartners Medical Group, 401 Phalen Blvd, St Paul, MN 55130, USA.
出版信息
Otolaryngol Clin North Am. 2019 Oct;52(5):825-845. doi: 10.1016/j.otc.2019.06.001. Epub 2019 Jul 26.
The article describes the unique benefits and challenges of transcanal (and transmastoid) endoscopic ear surgery (EES) for management of middle ear disease in children. It provides a rationale for EES in children and describes differences in anatomy between the pediatric and adult ear. The basic principles of EES, from operating room layout, choice of surgical instruments, and tips and pearls to avoid complications specific to the endoscope, are reviewed. Finally, techniques and outcomes in pediatric EES for tympanic membrane perforation, congenital cholesteatoma, and acquired cholesteatoma are summarized.
本文描述了经耳道（及经乳突）耳内镜手术（EES）在儿童中耳疾病治疗中的独特优势和挑战。它阐述了儿童行EES的理论依据，并描述了儿童与成人耳部解剖结构的差异。文中回顾了EES的基本原则，包括手术室布局、手术器械的选择以及避免内镜特有并发症的技巧和要点。最后，总结了儿童EES治疗鼓膜穿孔、先天性胆脂瘤和后天性胆脂瘤的技术及疗效。
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