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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.

DOI:10.11604/pamj.2019.34.216.19472
PMID:32180888
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7060955/
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/7060955/333beb56b8a7/PAMJ-34-216-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/fd14c02da670/PAMJ-34-216-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/35c7250e6f31/PAMJ-34-216-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/acc3324a1610/PAMJ-34-216-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/333beb56b8a7/PAMJ-34-216-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/fd14c02da670/PAMJ-34-216-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/35c7250e6f31/PAMJ-34-216-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/acc3324a1610/PAMJ-34-216-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/7060955/333beb56b8a7/PAMJ-34-216-g004.jpg

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本文引用的文献

1
What to do with medialized tympanostomy tubes? A survey of pediatric otolaryngologists.对于内移型鼓膜置管该如何处理？一项针对儿科耳鼻喉科医生的调查。
Int J Pediatr Otorhinolaryngol. 2018 Jan;104:220-223. doi: 10.1016/j.ijporl.2017.11.023. Epub 2017 Nov 22.
2
To remove or not to remove: Review of cases of medial migration of tympanostomy tubes.移除还是不移除：鼓膜造孔管内侧移位病例回顾
Int J Pediatr Otorhinolaryngol. 2015 Nov;79(11):1793-7. doi: 10.1016/j.ijporl.2015.08.008. Epub 2015 Aug 14.
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Clinical practice guideline: Tympanostomy tubes in children.
临床实践指南：儿童鼓膜置管术。
Otolaryngol Head Neck Surg. 2013 Jul;149(1 Suppl):S1-35. doi: 10.1177/0194599813487302.
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Case of perilymphatic fistula caused by medially displaced tympanostomy tube.
J Laryngol Otol. 2009 Aug;123(8):928-30. doi: 10.1017/S0022215108003873. Epub 2008 Oct 17.
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The etiology of medial migration of tympanostomy tubes.鼓膜造孔管向内侧移位的病因
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Medial migration of tympanostomy tubes: an overlooked complication.鼓膜置管的内侧移位：一种被忽视的并发症。
Int J Pediatr Otorhinolaryngol. 2006 Oct;70(10):1707-14. doi: 10.1016/j.ijporl.2006.05.015. Epub 2006 Jun 30.
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A new treatment for chronic secretory otitis media.慢性分泌性中耳炎的一种新疗法。
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Meta-analysis of tympanostomy tube sequelae.鼓膜置管后遗症的荟萃分析。
Otolaryngol Head Neck Surg. 2001 Apr;124(4):374-80. doi: 10.1067/mhn.2001.113941.
9
Medial displacement of grommets: an unwanted sequel of grommet insertion.鼓膜通气管向内移位：鼓膜通气管置入术后的不良后果。
J Laryngol Otol. 2000 Jun;114(6):448-9. doi: 10.1258/0022215001906039.
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Postsurgical follow-up of children with tympanostomy tubes: results of the American Academy of Otolaryngology-Head and Neck Surgery Pediatric Otolaryngology Committee National Survey.鼓膜置管儿童的术后随访：美国耳鼻咽喉头颈外科学会小儿耳鼻咽喉科委员会全国调查结果
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