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鼓室成形术可与腺样体切除术同时进行。置管因素评估。

Tympanoplasty can be Concurrent with Adenoidectomy. Tube Factor Assessment.

作者信息

Leopoldo Caroline Martins Dos Santos, Nishino Lucia Kazuko, de Campos Carlos Alberto Herrerias, Ribeiro Ivan Taylor, Ribeiro Fernando de Andrade Quintanilha

机构信息

Departamento de Otorrinolaringologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Rua Dr. Cesário Motta Júnior, 61, Vila Buarque, São Paulo, CEP 01221-020 SP Brazil.

Departamento de Fonoaudiologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP Brazil.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3364-3368. doi: 10.1007/s12070-024-04689-6. Epub 2024 Apr 22.

Abstract

To assess changes in middle ear pressures following adenotonsillectomies in children, and to evaluate the possibility of performing tympanoplasty at the same surgical time. Prospective study in which tube function was assessed using tympanometry on the first postoperative day and on the seventh postoperative day after adenotonsillectomies. A total of 39 children aged 6.8 ± 2.6 years were evaluated. On the first postoperative day, 79.5% presented with changes in middle ear pressure. On the seventh postoperative day, only 12.8% maintained this change. Tube dysfunction following adenotonsillectomy is transient and would not preclude an associated tympanoplasty from being performed, thereby reducing costs and risks related to the surgical procedure.

摘要

评估儿童腺样体扁桃体切除术后中耳压力的变化,并评估在同一手术时间进行鼓室成形术的可能性。前瞻性研究,在腺样体扁桃体切除术后第一天和第七天使用鼓室导抗图评估咽鼓管功能。共评估了39名年龄为6.8±2.6岁的儿童。术后第一天,79.5%的患儿出现中耳压力变化。术后第七天,只有12.8%的患儿仍维持这种变化。腺样体扁桃体切除术后的咽鼓管功能障碍是短暂的,并不妨碍同时进行鼓室成形术,从而降低手术相关的成本和风险。

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本文引用的文献

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The immediate effect of adenotonsillectomy on Eustachian tube function in children.腺样体扁桃体切除术对儿童咽鼓管功能的即时影响。
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