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乳突根治术后不同鼓膜成形术技术的比较。

Comparison of Different Techniques of Meatoplasty After Canal Wall Down Mastoidectomy.

作者信息

Vadiya Sohil I, Makwana Parth, Mehta Nisarg, Khetani Sridhar

机构信息

Department of ENT, Dr MK Shah Medical College and Research Centre, Visat - Gandhinagar Highway, Chandkheda, Ahmedabad, Gujarat 382424 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):589-592. doi: 10.1007/s12070-020-02312-y. Epub 2021 Feb 8.

Abstract

To compare surgical outcomes with different meatoplasty techniques without removal of a cartilage piece in canal wall down mastoidectomy. Total 61 patients of canal wall down mastoidectomy included in the study where either inferior based flap technique or division in middle technique meatoplasty performed and 2 groups formed. Group A consisted of 33 patients and the inferior based flap technique of meatoplasty used in these patients. Group B consisted of 28 patients and the division in middle technique of meatoplasty used in these patients. Granulations, discharge or stenosis of canal were observed in less than 8% of cases in both the groups. Meatoplasty done without incision or excision of a piece of cartilage from pinna can be achieved with good success rates with either inferiorly based flap technique or division in middle technique.

摘要

在不切除外耳道后壁乳突切除术中软骨块的情况下,比较不同外耳道成形术技术的手术效果。本研究共纳入61例行外耳道后壁乳突切除术的患者,分别采用了基于下方皮瓣技术或中间分割技术进行外耳道成形术,并形成了2组。A组由33例患者组成,这些患者采用基于下方皮瓣技术进行外耳道成形术。B组由28例患者组成,这些患者采用中间分割技术进行外耳道成形术。两组中均有不到8%的病例出现肉芽、分泌物或外耳道狭窄。采用基于下方皮瓣技术或中间分割技术,在不对外耳进行切口或切除软骨块的情况下进行外耳道成形术,均可取得较高的成功率。

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