Harkness P, Brown P, Fowler S, Grant H, Ryan R, Topham J
Comparative Audit Service, Royal College of Surgeons of England, London, UK.
Clin Otolaryngol Allied Sci. 1995 Feb;20(1):89-94. doi: 10.1111/j.1365-2273.1995.tb00020.x.
This paper presents the results of a national comparative audit of mastoid surgery, retrospectively analysing 611 operations by 55 consultants. Confidentiality for both patient and surgeon was assured. For cholesteatoma 80% of mastoidectomies performed were open cavity procedures and for other middle ear disease 58% used an intact canal wall technique. Thirty-two surgeons used only an open cavity mastoidectomy for cholesteatoma during the period of the audit. There was a statistically significantly greater number of wet ears with open cavities than with closed cavities, but the frequency of the operator did not correlate with the dry ear rate. Ten serious complications (facial palsy and dead ear) were recorded. All occurred in open cavity mastoidectomies. The post-operative hearing status was unknown in 40% of patients.
本文介绍了一项全国性乳突手术对比审计的结果，回顾性分析了55位会诊医生进行的611例手术。确保了患者和外科医生双方的信息保密。对于胆脂瘤，所施行的乳突切除术中80%为开放式乳突根治术，对于其他中耳疾病，58%采用了完整外耳道壁技术。在审计期间，32位外科医生对胆脂瘤仅采用开放式乳突根治术。与闭合式乳突根治术相比，开放式乳突根治术出现耳内潮湿的情况在统计学上显著更多，但术者的手术频率与干耳率并无关联。记录了10例严重并发症（面瘫和听力丧失）。所有这些并发症均发生在开放式乳突根治术中。40%患者术后听力状况未知。
