Gómez-Ullate R, Cristóbal F, Ruiz C, Arcocha A
Centro de Especialidades Quirúrgicas, Ciudad Universitaria de Madrid.
Acta Otorrinolaringol Esp. 1997 Nov-Dec;48(8):605-8.
The obliteration of a large or irregular mastoidectomy cavities with hard-to-control areas is a common problem for ENT surgeons. Numerous obliteration techniques have been proposed in the last 50 years. We report our experience of obliteration of mastoid cavities in 74 ears using autogenous mastoid cortical bone chips and rib cartilage. Our procedure, a partial obliteration with meatoplasty, has yielded good results. Almost 92% of these ears were dry three years after surgery. There were no cases of recurrent cholesteatoma between bone chips.
对于耳鼻喉科医生来说,封闭大的或不规则的乳突切除腔以及难以控制的区域是一个常见问题。在过去50年里,人们提出了许多封闭技术。我们报告了使用自体乳突皮质骨屑和肋软骨封闭74只耳朵乳突腔的经验。我们的手术方法,即采用外耳道成形术进行部分封闭,取得了良好效果。术后三年,这些耳朵中近92%保持干燥。骨屑之间没有复发性胆脂瘤病例。