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术后耳道容积与闭塞材料及术腔容积的相关性。

Correlation of postoperative ear canal volumes with obliteration material and with volume of operation cavity.

作者信息

Ojala K, Sorri M, Sipilä P, Vainio-Mattila J

出版信息

Arch Otorhinolaryngol. 1982;234(1):37-43. doi: 10.1007/BF00453536.

DOI:10.1007/BF00453536
PMID:7044355
Abstract

In this study the preoperative and early and late postoperative volumes of ear canals of 131 operated chronic ears were measured by filling the ear canals with saline solution. The ears were operated on using the Palva method of obliteration of the operative cavity and reconstruction of the ear canal after removing the posterior, bony canal wall at operation. The average preoperative ear canal volume (V0) was 0.8 ml, the early postoperative volume (V1) was 1.0 ml, and the late postoperative volume (V2) was 1.2 ml. There was significantly more widening of the volume of the ear canals in the ears with a larger (greater than 7 ml) operation cavity as compared to ears with smaller (3-7 ml) operation cavity (p less than 0.05). Widening of the ear canals was smaller in the 12 ears with obliteration of the surgical cavity with musculoperiosteal flap and anorganic bone (Ossar) as compared to the 119 ears obliterated with musculoperiosteal flap only, but the difference was not statistically significant (p greater than 0.05).

摘要

在本研究中,通过向131例接受手术的慢性耳的耳道内注入盐溶液来测量术前、术后早期和晚期的耳道容积。手术采用帕尔瓦(Palva)法,即在手术中去除后骨性耳道壁后,闭塞手术腔并重建耳道。术前耳道平均容积(V0)为0.8毫升,术后早期容积(V1)为1.0毫升,术后晚期容积(V2)为1.2毫升。与手术腔较小(3 - 7毫升)的耳朵相比,手术腔较大(大于7毫升)的耳朵耳道容积增宽明显更多(p小于0.05)。与仅用肌骨膜瓣闭塞手术腔的119只耳朵相比,用肌骨膜瓣和无机骨(Ossar)闭塞手术腔的12只耳朵耳道增宽较小,但差异无统计学意义(p大于0.05)。

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本文引用的文献

1
MASTOID OSTEOPLASTY WITH ANORGANIC BONE.使用无机骨的乳突骨成形术
Acta Otolaryngol. 1965 Jan;59:81-7. doi: 10.3109/00016486509128549.
2
[The surgical treatment of chronic otitis media].[慢性中耳炎的外科治疗]
Acta Otolaryngol. 1960 Aug;52:143-9. doi: 10.3109/00016486009123135.
3
Mastoid osteoplasty using autogenous cancellous bone: a new procedure.使用自体松质骨的乳突骨成形术:一种新方法。
S Afr Med J. 1960 Jul 30;34:645-50.
4
Modified radical mastoidectomy with reconstruction of the ear canal.改良乳突根治术并重建耳道
Ann Otol Rhinol Laryngol. 1956 Mar;65(1):201-13. doi: 10.1177/000348945606500119.
5
Cavity obliteration and ear canal size.
Arch Otolaryngol. 1970 Oct;92(4):366-71. doi: 10.1001/archotol.1970.04310040054010.
6
Operative technique in mastoid obliteration.乳突充填术的手术技巧。
Acta Otolaryngol. 1973 Apr;75(4):289-90. doi: 10.3109/00016487309139718.