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鼓室乳突手术:一种用自体颞肌筋膜和骨糊修复后骨性耳道壁缺损的技术。

Tympanomastoid surgery: a technique for repairing posterior osseous canal wall defects with autologous temporalis fascia and bone pâte.

作者信息

Althaus S R

出版信息

Otolaryngol Head Neck Surg. 1985 Apr;93(2):227-9. doi: 10.1177/019459988509300219.

DOI:10.1177/019459988509300219
PMID:3921915
Abstract

A technique for repairing small to medium-sized defects in the osseous posterior superior canal resulting from pathologic or iatrogenic causes is described. Bone pâte is harvested from the mastoid cortex by means of a simple collection technique. A sandwich graft composed of autologous temporalis fascia lined with bone pâte is used to fill in the canal wall defect. This technique has been used successfully in 27 of 28 cases, with follow-up as long as 8 years. When fully healed, the bone graft has attained the texture and consistency of the normal osseous canal and, if necessary, can be curetted or drilled for reshaping during planned second-stage tympanomastoid surgery. The temporalis fascia/bone pâte graft technique is simple, easy to learn, and has proven to be a reliable method for repairing the defects described.

摘要

本文描述了一种修复因病理或医源性原因导致的骨性后半规管中小尺寸缺损的技术。通过一种简单的采集技术从乳突皮质获取骨糊。使用由自体颞肌筋膜内衬骨糊组成的三明治移植物来填充管壁缺损。该技术已在28例中的27例成功应用,随访时间长达8年。完全愈合后,骨移植物已达到正常骨性半规管的质地和稠度,如有必要,在计划的二期鼓室乳突手术中可进行刮除或钻孔以重塑形状。颞肌筋膜/骨糊移植物技术简单,易于学习,并且已被证明是修复所述缺损的可靠方法。

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Tympanomastoid surgery: a technique for repairing posterior osseous canal wall defects with autologous temporalis fascia and bone pâte.鼓室乳突手术:一种用自体颞肌筋膜和骨糊修复后骨性耳道壁缺损的技术。
Otolaryngol Head Neck Surg. 1985 Apr;93(2):227-9. doi: 10.1177/019459988509300219.
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[Canal wall reconstruction with tragus cartilage and tempralis fascia graft].[采用耳屏软骨和颞肌筋膜移植的外耳道后壁重建术]
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Assessment of visualization of structures in the middle ear via Tos modified canal wall-up mastoidectomy versus classic canal wall-up and canal wall-down mastoidectomies.通过托氏改良外耳道壁上乳突切除术与经典外耳道壁上乳突切除术及外耳道壁下乳突切除术对中耳结构可视化的评估。
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Eur Arch Otorhinolaryngol. 2016 Jun;273(6):1399-404. doi: 10.1007/s00405-015-3700-z. Epub 2015 Jul 2.
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Reconstruction of outer attic wall defects using bone paté: Long-term clinical and histological evaluation.使用骨泥重建外耳道外侧壁缺损:长期临床及组织学评估
Eur Arch Otorhinolaryngol. 2006 Nov;263(11):983-7. doi: 10.1007/s00405-006-0098-7. Epub 2006 Jun 28.