Cable H R
Br J Hosp Med. 1985 Nov;34(5):266, 268-70, 272.
Microsurgery of the middle ear has evolved over the past three decades through the art of the technically possible to the art of the clinically advisable. Stapedectomy has been refined to achieve an acceptably high level of success. Tympanoplasty in its simpler forms (myringoplasty +/- incus transposition) is very successful in the restoration of a dry hearing ear. Reconstruction in the absence of a mobile stapes remains an unresolved problem. The safe avoidance of an open cavity in cholesteatomatous disease continues to be an elusive goal.
在过去三十年里，中耳显微外科已从追求技术可行性的技艺发展为注重临床合理性的技艺。镫骨切除术已得到完善，成功率达到了可接受的高水平。较为简单形式的鼓室成形术（鼓膜成形术+/-砧骨移位术）在恢复干耳听力方面非常成功。在镫骨固定的情况下进行重建仍是一个未解决的问题。在胆脂瘤性疾病中安全避免开放腔隙仍是一个难以实现的目标。
