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与成人相比,经耳道内镜耳外科手术在儿童中的疗效。

The Efficacy of Transcanal Endoscopic Ear Surgery in Children Compared to Adults.

作者信息

Sun Wan-Hsuan, Chen Chia-Ho, Kuo Chao-Yin, Cheng Sheng-Yao, Huang Tzu-Chin

机构信息

Department of Otolaryngology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.

Department of Otolaryngology, Cathay General Hospital, Taipei 10630, Taiwan.

出版信息

Children (Basel). 2025 Apr 17;12(4):519. doi: 10.3390/children12040519.

DOI:10.3390/children12040519
PMID:40310232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12025847/
Abstract

: Using transcanal endoscopic ear surgery to manage middle ear disease in children remains a controversial topic. The aim of this study was to compare the efficacy of transcanal endoscopic ear surgery between children and adults. : The aim of this study was to compare the efficacy of transcanal endoscopic ear surgery between children and adults. : We observed no significant difference between pediatric and adult patients with regard to the rates of surgical success, postoperative hearing gain, and postoperative complications in all surgical procedures. As for ventilation tube insertion, the pediatric patients had shorter surgical times compared to adult patients. With respect to tympanoplasty, the pediatric group had a longer surgical time than adults did. : Our study showed that transcanal endoscopic ear surgery can be successfully applied to manage various middle ear diseases in children.

摘要

使用经耳道内镜耳手术治疗儿童中耳疾病仍是一个有争议的话题。本研究的目的是比较经耳道内镜耳手术在儿童和成人中的疗效。本研究的目的是比较经耳道内镜耳手术在儿童和成人中的疗效。我们观察到,在所有手术操作中,小儿患者和成年患者在手术成功率、术后听力改善及术后并发症发生率方面无显著差异。至于置管手术,小儿患者的手术时间比成年患者短。在鼓膜成形术方面,小儿组的手术时间比成人组长。我们的研究表明,经耳道内镜耳手术可成功应用于治疗儿童的各种中耳疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea48/12025847/6a3352c713b4/children-12-00519-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea48/12025847/6a3352c713b4/children-12-00519-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea48/12025847/6a3352c713b4/children-12-00519-g001.jpg

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本文引用的文献

1
The anatomic applicability of transcanal endoscopic ear surgery in children.经耳道内镜耳手术在儿童中的解剖学适用性。
Int J Pediatr Otorhinolaryngol. 2018 Feb;105:118-122. doi: 10.1016/j.ijporl.2017.12.016. Epub 2017 Dec 15.
2
Transcanal endoscopic ear surgery for pediatric population with a narrow external auditory canal.针对外耳道狭窄的儿童群体进行经耳道内镜耳手术。
Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2265-9. doi: 10.1016/j.ijporl.2015.10.019. Epub 2015 Oct 24.
3
Pediatric endoscopic ear surgery in clinical practice: Lessons learned and early outcomes.
临床实践中的小儿内镜耳外科手术:经验教训与早期疗效
Laryngoscope. 2016 Mar;126(3):732-8. doi: 10.1002/lary.25410. Epub 2015 Jul 30.
4
Endoscopic exclusive transcanal approach to the tympanic cavity cholesteatoma in pediatric patients: our experience.小儿鼓室胆脂瘤的内镜下经耳道入路:我们的经验
Int J Pediatr Otorhinolaryngol. 2015 Mar;79(3):316-22. doi: 10.1016/j.ijporl.2014.12.008. Epub 2015 Jan 7.
5
Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review.胆脂瘤治疗的中耳内镜手术结果:一项系统评价
Acta Otorhinolaryngol Ital. 2014 Jun;34(3):153-7.
6
Minimally invasive functional approach for cholesteatoma surgery.胆脂瘤手术的微创功能入路
Laryngoscope. 2014 Oct;124(10):2386-92. doi: 10.1002/lary.24633. Epub 2014 Mar 24.
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Iran J Otorhinolaryngol. 2013 Spring;25(71):63-70.
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Endoscopic middle ear surgery in children.儿童内镜中耳手术
Otolaryngol Clin North Am. 2013 Apr;46(2):233-44. doi: 10.1016/j.otc.2012.10.007. Epub 2012 Nov 27.
9
Pyramidal eminence and subpyramidal space: an endoscopic anatomical study.锥体隆起和下锥体空间:内镜解剖研究。
Laryngoscope. 2010 Mar;120(3):557-64. doi: 10.1002/lary.20748.
10
Transcanal endoscopic approach to the sinus tympani: a clinical report.经耳道内镜入路治疗鼓窦隐窝:临床报告
Otol Neurotol. 2009 Sep;30(6):758-65. doi: 10.1097/MAO.0b013e3181b0503e.