Vartiainen E, Nuutinen J, Karjalainen S, Pellinen P
Department of Otolaryngology, University Hospital of Kuopio, Finland.
J Laryngol Otol. 1993 Sep;107(9):795-7. doi: 10.1017/s0022215100124454.
The results of stapedectomy were compared between 162 otosclerotic ears operated on using the posterior crus technique and 182 otosclerotic ears undergoing Teflon piston stapedectomy. The large fenestra technique with fascia seal to the oval window was used in all cases. Mean follow-up period was 9.6 years. Neither short-nor long-term hearing results showed any significant differences between the two surgical technique groups. Complications of surgery were more common in patients undergoing Teflon piston stapedectomy. On the other hand, a re-operation for recurring conductive deafness was performed significantly more often in patients undergoing posterior crus stapedectomy.
对采用后脚技术手术的162例耳硬化症患者与接受聚四氟乙烯活塞镫骨切除术的182例耳硬化症患者的镫骨切除术结果进行了比较。所有病例均采用大窗口技术并使用筋膜封闭椭圆窗。平均随访期为9.6年。两种手术技术组的短期和长期听力结果均无显著差异。聚四氟乙烯活塞镫骨切除术患者的手术并发症更为常见。另一方面，后脚镫骨切除术患者因复发性传导性耳聋进行再次手术的频率明显更高。
