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先天性镫骨及前庭窗异常的前庭开窗术和镫骨成形术

Vestibular fenestration and stapedioplasty in congenital stapes and vestibular window abnormality.

作者信息

Morimitsu T, Matsumoto I, Takahashi M, Komune S

出版信息

Arch Otorhinolaryngol. 1980;226(1-2):27-33. doi: 10.1007/BF00455399.

DOI:10.1007/BF00455399
PMID:6970565
Abstract

In this paper the results of vestibular fenestration and stapedioplasty in cases of congenital stapes deformity and vestibular window abnormality are presented. The problems in the surgical reconstruction of the middle ear transmission system, especially the importance of the areal ratio between the tympanic membrane and the vestibular window and the ossicular lever action, are discussed. The following conclusions were reached: 1. The area of the new vestibular window should be greater than 2.0 x 1.0 mm, i.e., one third of normal. 2. Hearing gain was about 1.5 times better after incus-stapedioplasty than after malleus-stapedioplasty. It is recommended that an effort be made to adopt incus stapedioplasty whenever possible.

摘要

本文介绍了先天性镫骨畸形和前庭窗异常病例中行前庭开窗术和镫骨成形术的结果。讨论了中耳传音系统外科重建中的问题，尤其是鼓膜与前庭窗面积比以及听骨链杠杆作用的重要性。得出以下结论：1. 新前庭窗面积应大于2.0×1.0mm，即正常面积的三分之一。2. 砧骨-镫骨成形术后听力增益比锤骨-镫骨成形术后约好1.5倍。建议尽可能采用砧骨-镫骨成形术。

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Arch Otorhinolaryngol. 1980;226(1-2):27-33. doi: 10.1007/BF00455399.
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本文引用的文献

1
THE STAINLESS STEEL PISTON. SURGICAL INDICATIONS AND RESULTS.
Arch Otolaryngol. 1965 Jan;81:34-40. doi: 10.1001/archotol.1965.00750050039010.
2
Absence of the oval window. A case report.卵圆窗缺如。病例报告。
Arch Otolaryngol. 1961 Nov;74:515-21. doi: 10.1001/archotol.1961.00740030526006.
3
The teflon piston operation for otosclerosis.用于耳硬化症的聚四氟乙烯活塞手术
Laryngoscope. 1963 May;73:508-9. doi: 10.1288/00005537-196305000-00002.