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耳后切口耳部手术后耳廓感觉丧失:我们的经验

Sensation Loss of Auricle Following Ear Surgery by Post-auricular Incision: Our Experience.

作者信息

Vakharia Sanket D, Gupta Seema R

机构信息

Department of ENT, GMERS Medical College, Civil Hospital Campus, Near Pathikasharam, Sector-12, Gandhinagar, Gujarat 382012 India.

Present Address: Thane(West), Maharashtra India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):120-124. doi: 10.1007/s12070-020-01906-w. Epub 2020 Jun 13.

Abstract

Post-auricular incisions used for ear surgeries have their distinct advantages and disadvantages. Numbness in post-auricular region or over pinna is a symptom encountered in many patients following surgery via post-auricular incision. We performed this study to investigate this phenomenon of aural numbness in terms of frequency and severity. : Prospective study. : This study was conducted in our hospital from 1st December 2015 to 30th November 2016 for a period of 1 year. The period of analysis was 1 month. : All patients undergoing surgery via post-auricular incision were included in the study. : All the subjects were subjected to touch and pain sensory testing and also symptoms were recorded with the help of visual analog scale. The mean subjective Visual analog scale (VAS) value had significantly reduced after the surgery and it gradually improved over a period of about 6 months when it became near normal. Sensory testing revealed loss of touch and pain sensation in about 67% of patients following the surgery. The sensation recovered over a variable period of time, with about 95% of patients having normal touch and pain sensation 6 months after the surgery. Majority of patients treated with postaural incision develop sensory loss which is likely to recover in 3-6 months. Till that time patients should be counselled properly and appropriate measures should be taken to avoid any complications of sensory loss.

摘要

用于耳部手术的耳后切口有其独特的优缺点。耳后区域或耳廓上方麻木是许多接受耳后切口手术的患者术后出现的症状。我们开展这项研究以调查耳部麻木这一现象的发生频率和严重程度。:前瞻性研究。:本研究于2015年12月1日至2016年11月30日在我院进行,为期1年。分析期为1个月。:所有接受耳后切口手术的患者均纳入本研究。:所有受试者均接受触觉和疼痛感觉测试,并借助视觉模拟量表记录症状。术后平均主观视觉模拟量表(VAS)值显著降低,约6个月后逐渐改善,接近正常水平。感觉测试显示,术后约67%的患者存在触觉和疼痛感觉丧失。感觉在不同时间段恢复,术后6个月约95%的患者触觉和疼痛感觉恢复正常。大多数接受耳后切口治疗的患者会出现感觉丧失,可能在3至6个月内恢复。在此期间,应给予患者适当的咨询,并采取适当措施避免感觉丧失的任何并发症。

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