二次耳镫骨切除术
Second ear stapedectomy.
作者信息
Sergeant R J, Wadsworth P V
出版信息
J R Soc Med. 1980 Jul;73(7):505-7. doi: 10.1177/014107688007300708.
A long-term follow up of a personal series of 79 second ear stapedectomies indicates that the procedure can be undertaken with minimal complications. No bilateral dead ears or vestibular disasters have occurred. The results were satisfactory in 87.5% of ears, and bilaterally symmetrical hearing with an air-bone gap of 30 dB or less was achieved in 24% of patients. Whilst the established dictum that only one ear should be operated upon should not be abandoned, the results reported in this paper may encourage the more experienced to operate on the second ear at a later date in carefully selected cases.
对本人所做的79例二期耳镫骨切除术进行的长期随访表明，该手术并发症极少。未出现双侧全聋或前庭严重病变。87.5%的耳手术结果令人满意，24%的患者实现了双侧听力对称且气骨导差在30dB或更小。虽然“只应手术一侧耳朵”这一既定原则不应被摒弃，但本文所报告的结果可能会鼓励经验更丰富的医生在以后为精心挑选的病例进行二期耳手术。
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