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镫骨修正术的疗效分析

马坤 侯昭晖 张欣欣

中华耳科学杂志Issue(2):309-311,3.
中华耳科学杂志Issue(2):309-311,3.DOI:10.3969/j.issn.1672-2922.2015.02.027

镫骨修正术的疗效分析

Effective analysis on Revision Stapedectomy

马坤 1侯昭晖 1张欣欣1

作者信息

  • 1. 解放军总医院耳鼻喉头颈外科 北京100853
  • 折叠

摘要

Abstract

Objective To investigate effects of revision stapedectomy on patients with recurrent conductive hearing loss after primary surgery and to sum up precautions in revision surgery. Methods We retrospectively reviewed a series of 31 revi⁃sion stapes surgeries performed from 2004 to 2014. Inoperative findings, pre and postoperative audiometric results were noted. Results The leading causes of failure included fibrosis adhesions, refixation of incus and prosthesis dislocation. A postopera⁃tive gap within 20 dB was obtained in 21 (67.7%) of patients. The average postoperative air-bone gap was 13.4 dB and the mean pure-tone average improvement was 15.8 dB. No profound sensorineural hearing loss occurred. Conclusion Although re⁃vision stapedectomy provides less favorable success rate than primary surgery, it allows significant hearing improvement in large proportion of patients.

关键词

修正术/镫骨切除术/耳硬化症

Key words

Revision/Stapedectomy/Otosclerosis

分类

医药卫生

引用本文复制引用

马坤,侯昭晖,张欣欣..镫骨修正术的疗效分析[J].中华耳科学杂志,2015,(2):309-311,3.

中华耳科学杂志

OA北大核心CSCDCSTPCD

1672-2922

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