评估传统或内镜下微动力辅助腺样体切除术对中耳功能的影响。
Assessment of middle ear function after conventional or endoscopic microdebrider assisted adenoidectomy.
机构信息
Department of ENT and Head & Neck Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
出版信息
Acta Otorhinolaryngol Ital. 2023 Dec;43(6):417-423. doi: 10.14639/0392-100X-N2593. Epub 2023 Oct 10.
OBJECTIVES
To compare pre- and post-operative pure tone audiometric and impedance audiometric analysis following conventional and endoscopic microdebrider assisted adenoidectomy and compare the outcomes.
METHODS
Patients diagnosed with chronic adenoiditis were divided in groups of 25 each. Patients in the first group underwent conventional curettage adenoidectomy, while those in second group underwent endoscopic microdebrider assisted adenoidectomy. Pre- and post-operative pure tone and impedance audiometry were performed for all patients and outcomes were compared.
RESULTS
The endoscopic microdebrider assisted method resulted in significantly better outcomes compared to conventional curettage. Criteria such as hearing threshold (p value 0.004 at second follow-up), peak pressure (p value 0.045 at first follow-up) and tympanogram (p value 0.016) showed that the endoscopic method was better, while peak compliance (p value 0.340 at first follow-up) did not show any significant difference between groups.
CONCLUSIONS
The endoscopic microdebrider assisted method for adenoidectomy has a definite advantage of better visualisation resulting in better clearance of tissue, leading to enhanced middle ear function compared to conventional curettage.
目的
比较传统和内镜微动力辅助腺样体切除术前后纯音测听和阻抗测听分析，并比较结果。
方法
将诊断为慢性腺样体炎的患者分为每组 25 例。第一组患者接受传统刮除腺样体切除术，第二组患者接受内镜微动力辅助腺样体切除术。对所有患者进行术前和术后纯音测听和阻抗测听，并比较结果。
结果
与传统刮除相比，内镜微动力辅助方法的结果明显更好。听力阈值（第二次随访时 p 值为 0.004）、峰值压力（第一次随访时 p 值为 0.045）和鼓室图（p 值为 0.016）等标准表明内镜方法更好，而峰值顺应性（第一次随访时 p 值为 0.340）在两组之间无显著差异。
结论
与传统刮除相比，内镜微动力辅助腺样体切除术具有更好的可视化优势，可更彻底地清除组织，从而改善中耳功能。
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