Wang Fangyuan, Wang Hongmin, Yang Shiming, Hou Zhaohui
College of Otolaryngology Head and Neck Surgery,the First Medical Center of Chinese PLA General Hospital,National Clinical Research Center for Otolaryngologic Diseases,Key Lab of Hearing Science,Ministry of Education,Beijing Key Lab of Hearing Impairment for Prevention and Treatment,Beijing,100853,China.
Department of Otolaryngology,Chaoyang Central Hospital,Liaoning.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Nov;34(11):1030-1034. doi: 10.13201/j.issn.2096-7993.2020.11.017.
To summarize the experience of establishing middle ear ventilation in endoscopic middle ear surgery. A retrospective analysis was performed on the patients who have received a middle ear endoscopic surgery in our department from 2016 to 2018. The method of reconstructing middle ear ventilation was summarized. A total of 300 ears from 296 paitents were collected. Fourty six of the 300 patients had eustachian tube problems, 241 had problems of ventilation between epitympanum and mesotympanum, and 185 had need of ventilation cavity reconstruction. With the continuous expansile application of endoscopic technology in the ear surgery and the deepening understanding of otologists on both the surgical concept and the physiological function of the middle ear, the use of endoscopy can achieve the goal of removing lesions accurately and preserving or reconstructing the function on the premise of minimally invasion.
总结内镜中耳手术建立中耳通气的经验。对2016年至2018年在我科接受中耳内镜手术的患者进行回顾性分析。总结重建中耳通气的方法。共收集296例患者的300耳。300例患者中46例存在咽鼓管问题,241例存在上鼓室与中鼓室之间的通气问题,185例需要进行通气腔重建。随着内镜技术在耳科手术中的不断广泛应用以及耳科医生对手术理念和中耳生理功能认识的不断深入,在内镜下可以在微创的前提下实现准确切除病变并保留或重建功能的目标。