慢性粘连性中耳炎的外科手术

Surgery of chronic adhesive otitis media.

作者信息

Vartiainen E, Härmä R, Karjalainen S

出版信息

Clin Otolaryngol Allied Sci. 1985 Jun;10(3):163-4. doi: 10.1111/j.1365-2273.1985.tb01186.x.

DOI:10.1111/j.1365-2273.1985.tb01186.x

Abstract

The results of tympanoplasty operations in 55 ears with chronic adhesive otitis media were analysed. In 34% of the ears, the tympanic cavity was found to be aerated on follow-up examination. Hearing improved significantly in only 13 ears (24%). There were severe complications of surgery in two ears (3.6%): one ear became totally deaf and an iatrogenic cholesteatoma developed in the other. Because of these poor results, tympanoplasty is not recommended in the treatment of chronic adhesive otitis media.

摘要

对55例慢性粘连性中耳炎患者行鼓室成形术的结果进行了分析。随访检查发现，34%的患耳鼓室有气体充盈。仅13例（24%）患耳听力有显著改善。有2例（3.6%）出现严重手术并发症：1例患耳完全失聪，另1例形成医源性胆脂瘤。鉴于这些不佳结果，不建议采用鼓室成形术治疗慢性粘连性中耳炎。