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鼓膜造孔管的内侧移位:最佳处理方案是什么?

Medial migration of the tympanostomy tube: what is the optimal management option?

作者信息

Benchafai Ilias, Moumni Mohamed, Ouraini Saloua, Errami Noureddine, Hemmaoui Bouchaib, Benariba Fouad

机构信息

Department of Otolaryngology-Head and Neck Surgery, Mohamed V Military Hospital, Rabat, Morocco.

出版信息

Pan Afr Med J. 2019 Dec 30;34:216. doi: 10.11604/pamj.2019.34.216.19472. eCollection 2019.

Abstract

The tympanostomy tube insertion is the gold standard of treatment for secretory otitis media. Complications are associated with this surgery in 17% of cases. One of the rare but real complications is the medial migration of the tympanostomy tube. To our knowledge, this is the 14 case reported in childhood. Considering this rarity, there is no consensus for the management of this phenomenon. Some authors propose a surgical removal, while others prefer to observe whether the patient is asymptomatic. We reported a case of migration of the tympanostomy tube and described the detailed clinical features and management options. This case report and mini-review will broaden readers the knowledge of medial migration of the tympanostomy tube and may guide the relative treatment of this complication in the future.

摘要

鼓膜置管术是分泌性中耳炎的金标准治疗方法。该手术有17%的病例会出现并发症。罕见但确实存在的并发症之一是鼓膜置管向内侧移位。据我们所知,这是第14例儿童期报道的此类病例。鉴于这种罕见性,对于该现象的处理尚无共识。一些作者建议手术取出,而另一些人则倾向于观察患者是否无症状。我们报告了一例鼓膜置管移位病例,并描述了详细的临床特征和处理选择。本病例报告及小型综述将拓宽读者对鼓膜置管向内侧移位的认识,并可能为今后该并发症的相关治疗提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/fd14c02da670/PAMJ-34-216-g001.jpg

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