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内镜下耳科手术:我们的经验

Endoscopic Ear Surgery: Our Experience.

作者信息

Nair Satish, Aishwarya J G

机构信息

Department of ENT-HNS, Apollo Hospitals, Bannerghatta Road, Bangalore, Karnataka 560076 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):263-271. doi: 10.1007/s12070-020-02042-1. Epub 2020 Aug 17.

Abstract

Endoscopes are presently used as an adjunct to microscopic surgery for better visualization of hidden areas of middle ear or they are used as a primary modality replacing the microscopes. We performed primary endoscopic ear surgery at a tertiary care center to evaluate the scope of endoscopic ear surgeries and to evaluate the anatomical, functional and quality of life outcomes. We evaluated 103 cases of which included patients with chronic otitis media mucosal disease (64), chronic otitis media squamous disease (29), otosclerosis (6), and benign ear tumors (4). In our study, the structural and functional outcomes of endoscopic ear surgeries were comparable to microscopic techniques however it conferred superior patient related outcomes of cosmesis, post-operative pain and early return to daily routine. Thus endoscopic ear surgery is a minimally invasive alternative option to microscopic techniques in the field of otology.

摘要

目前,内窥镜被用作显微手术的辅助工具,以便更好地观察中耳的隐蔽区域,或者它们被用作取代显微镜的主要方式。我们在一家三级医疗中心进行了原发性内窥镜耳科手术,以评估内窥镜耳科手术的范围,并评估其解剖学、功能及生活质量方面的结果。我们评估了103例病例,其中包括慢性中耳炎黏膜病患者(64例)、慢性中耳炎鳞状病患者(29例)、耳硬化症患者(6例)和耳部良性肿瘤患者(4例)。在我们的研究中,内窥镜耳科手术的结构和功能结果与显微技术相当,然而,它在美容、术后疼痛及早日恢复日常生活等与患者相关的结果方面更具优势。因此,在内耳科学领域,内窥镜耳科手术是一种微创的替代显微技术的选择。

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Endoscopic stapedotomy: safety and audiological results in 150 patients.内镜镫骨切除术:150 例患者的安全性和听力结果。
Eur Arch Otorhinolaryngol. 2020 Jan;277(1):85-92. doi: 10.1007/s00405-019-05688-y. Epub 2019 Oct 17.
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Endoscopic Stapedotomy: Overcoming Limitations of Operating Microscope.内镜镫骨切开术:克服手术显微镜的局限性。
Ear Nose Throat J. 2021 Feb;100(2):103-109. doi: 10.1177/0145561319862216. Epub 2019 Jul 9.
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Endoscopic excision of a tympanic paraganglioma: Training the next generation of ear surgeons.鼓室副神经节瘤的内镜切除:培养下一代耳科外科医生。
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