Rosenberg S I, Silverstein H, Hoffer M, Nichols M
Department of Otolaryngology, University of Pennsylvania, Philadelphia, USA.
Arch Otolaryngol Head Neck Surg. 1995 Aug;121(8):870-2. doi: 10.1001/archotol.1995.01890080038007.
To determine whether an endoscopic second-look examination of the mastoid and middle ear could replace an open second-look mastoidectomy.
Patients were examined endoscopically. The findings were compared with a standard open mastoidectomy procedure during the same operation. The mastoid can be inspected through a small postauricular incision and the middle ear can be inspected through a myringotomy incision or tympanomeatal flap.
Ten patients aged 6 to 16 years.
Endoscopic findings correlated exactly with open mastoidectomy findings in all cases.
In light of this study an open second-look mastoidectomy may be avoided if minimal or no recurrent cholesteatoma is found during the endoscopic exploration. The use of the ridged endoscope has added another dimension to the standard microsurgical techniques used in pediatric otology. The indications, techniques, and findings of otoendoscopy in the management of chronic otitis media in children will be presented.
确定乳突和中耳的内镜二次探查能否替代开放式二次乳突根治术。
对患者进行内镜检查。将检查结果与同一手术中的标准开放式乳突根治术结果进行比较。乳突可通过耳后小切口进行检查，中耳可通过鼓膜切开切口或鼓室耳道皮瓣进行检查。
10名年龄在6至16岁之间的患者。
所有病例的内镜检查结果与开放式乳突根治术结果完全相符。
根据本研究，如果在内镜探查中发现极少或无复发性胆脂瘤，则可避免进行开放式二次乳突根治术。带嵴内镜的使用为小儿耳科学中使用的标准显微外科技术增添了新的维度。将介绍小儿慢性中耳炎耳内镜检查的适应证、技术和检查结果。
