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耳外科手术中的钻孔。传统高频范围和扩展高频范围内术前与术后骨导阈值的比较。

Drilling in ear surgery. A comparison of pre- and postoperative bone-conduction thresholds in both the conventional and extended high-frequency ranges.

作者信息

Hallmo P, Mair I W

机构信息

Department of Otorhinolaryngology, Ullevål University Hospital, Oslo, Norway.

出版信息

Scand Audiol. 1996;25(1):35-8. doi: 10.3109/01050399609047553.

DOI:10.3109/01050399609047553
PMID:8658024
Abstract

The pre- and postoperative bone-conduction thresholds for the frequencies 0.25 through 16 kHz were compared in 46 ears in which a high-speed ear drill was used. In 15 of these, thresholds were also obtained in the contralateral ear. There was no statistically significant postoperative threshold change at any single frequency in either the operated or the contralateral ear. The mean threshold elevation of 1.4 dB for the ipsilateral extended high-frequency octave of 8-16 kHz was marginally significant (p = 0.02), while this was not the case in the contralateral, unoperated ear. These findings are considered to be due to difficulties in placement of the cumbersome Präcitronic KH70 vibrator following bone removal ipsilaterally, with resultant defective transmission to the skull.

摘要

对46只使用高速耳钻的耳朵,比较了0.25至16kHz频率的术前和术后骨导阈值。其中15只耳朵的对侧耳也获得了阈值。手术耳或对侧耳在任何单个频率上术后阈值均无统计学上的显著变化。同侧8 - 16kHz扩展高频倍频程的平均阈值升高1.4dB,具有边缘显著性(p = 0.02),而对侧未手术耳则不然。这些发现被认为是由于同侧去除骨组织后,笨重的Präcitronic KH70振动器放置困难,导致向颅骨的传输出现故障。

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引用本文的文献

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Effect of Drill Induced Noise on Contralateral Normal Ear Following Cortical Mastoidectomy.皮质乳突切除术后钻孔噪声对侧正常耳的影响
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):219-223. doi: 10.1007/s12070-023-04129-x. Epub 2023 Aug 10.
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Effect of Mastoid Drilling on Hearing of the Contralateral Normal Ear in Mastoidectomy.乳突钻孔对乳突根治术中对侧正常耳听力的影响。
Indian J Otolaryngol Head Neck Surg. 2018 Jun;70(2):205-210. doi: 10.1007/s12070-017-1064-y. Epub 2017 Jan 21.
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Effect of drill-induced noise on hearing in non-operated ear.
钻孔引起的噪声对非手术耳听力的影响。
Adv Biomed Res. 2016 May 11;5:87. doi: 10.4103/2277-9175.182218. eCollection 2016.
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Results of bone conduction following surgery for chronic ear disease.慢性耳病手术后的骨传导结果。
Eur Arch Otorhinolaryngol. 1997;254(8):384-6. doi: 10.1007/BF01642555.