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[早期根治性手术后的耳部再次手术及手术策略]

[Ear reoperation and surgical tactics after earlier radical operation].

作者信息

Bobrov V M

出版信息

Vestn Otorinolaringol. 1994 May-Jun(3):35-6.

PMID:7846809
Abstract

In the Izhevsk hospital ENT department, medical aid in 1985-1992 was rendered to 572 patients with chronic otitis media purulenta, 139 patients underwent radical and nonradical surgery. 12 of them needed reoperation. One patient had intracranial complication, 2 patients developed subperiosteal retroauricular abscess. According to the author, recurrent inflammation in the operated on ear was due to: cholesteatoma recurrence, osteomyelitis foci, predisposition to keloid formation in the postoperative cavity, carious anvil, filling material in the cavity (3, 5, 2, 1 and 1 cases, respectively). The author emphasizes an important role of the initial operation accuracy in prevention of postoperative recurrences.

摘要

在伊热夫斯克医院耳鼻喉科,1985年至1992年期间为572例慢性化脓性中耳炎患者提供了医疗救助,139例患者接受了根治性和非根治性手术。其中12例需要再次手术。1例患者出现颅内并发症,2例患者发生耳后骨膜下脓肿。据作者称,手术耳反复发炎的原因是:胆脂瘤复发、骨髓炎病灶、术后腔隙形成瘢痕疙瘩的倾向、砧骨龋坏、腔隙内填充材料(分别为3例、5例、2例、1例和1例)。作者强调初次手术准确性在预防术后复发中的重要作用。

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