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[保存的听小骨的硬度和骨质结构]

[The hardness and osseous structure of preserved ear ossicles].

作者信息

Hüttenbrink K B

机构信息

HNO-Universitäts-Klinik Münster.

出版信息

Laryngol Rhinol Otol (Stuttg). 1988 Oct;67(10):506-12.

PMID:3236985
Abstract

The mechanical rigidity (breaking strength) of normal human ossicles, preserved with cialit and formalin, was studied in a tension compression testing machine. The bony structure of the ossicles before and after crushing was examined via high-grade magnifying radiography. With this new technique, minute bony details of the ossicles, which up to now could be demonstrated only histologically--consequently destroying the object--can be visualised without inflicting any changes to the ossicle. The different preservation methods had no effect on the structure or the mechanical strength of the ossicles. The fracture lines were distributed at random, with no preferential direction. In further experiments, defects in the ossicles' surfaces, which were cut with diamond burrs, were investigated radiographically and with a scanning electron microscope. The compressed bone dust seals up the opened marrow spaces. This reduces bone resorption significantly, as could be demonstrated with removed ossicular transplants similarly prepared, with had been implanted several years ago. The high grade radiographic magnification revealed that several ossicles which were removed during typical middle ear operations, were covered with metallic powder, originating from the intra-operative contact of the burr with the metallic suction tube. The 10% nickel component of the alloy may cause problems in patients with known nickel allergy, considering the intensive contact with the vast surface of the disseminated metallic dust particles.

摘要

在拉伸压缩试验机中研究了用西力生和福尔马林保存的正常人听小骨的机械刚性(断裂强度)。通过高级放大射线照相术检查了听小骨在挤压前后的骨质结构。借助这项新技术,听小骨的微小骨质细节(迄今为止只能通过组织学方法显示,结果会破坏标本)可以在不改变听小骨的情况下可视化。不同的保存方法对听小骨的结构或机械强度没有影响。骨折线随机分布,没有优先方向。在进一步的实验中,用金刚石磨头切割的听小骨表面缺陷通过射线照相术和扫描电子显微镜进行了研究。压缩的骨粉封闭了开放的骨髓腔。这显著减少了骨吸收,这一点可以通过对几年前植入的类似制备的听小骨移植体进行研究得到证明。高倍射线照相放大显示,在典型的中耳手术中取出的几块听小骨上覆盖着金属粉末,这些粉末来自磨头与金属吸管在手术中的接触。考虑到与大量分散的金属粉尘颗粒表面的密切接触,合金中含有的10%镍成分可能会给已知对镍过敏的患者带来问题。

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