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钛质人工听骨在一期鼓室成形术中的应用

赵丹 童步升 邱建新 刘业海 段茂利

中华耳科学杂志2016,Vol.14Issue(1):71-74,4.
中华耳科学杂志2016,Vol.14Issue(1):71-74,4.DOI:10.3969/j.issn.1672-2922.2016.01.015

钛质人工听骨在一期鼓室成形术中的应用

Application of titanium ossicular prostheses in one stage tympanoplasty

赵丹 1童步升 1邱建新 1刘业海 1段茂利1

作者信息

  • 1. 安徽医科大学第一附属医院耳鼻咽喉头颈外科 合肥230032
  • 折叠

摘要

Abstract

Objective To report treatment outcomes of titanium ossicular prostheses in one stage tympanoplasty. Methods Outcomes of one stage tympanoplasty using titanic ossicular replacement prostheses in 31 patients with 3 to 6 months follow-up were retrospectively reviewed. Pre- and postoperative pure tone thresholds as well as the air-bone gap were compared. Results Repaired tympanic membranes healed well at 1 month follow up in all 31 patients. No os-sicular replacement prosthesis protrusion was found, although infection occurred in 1 patient after 2 months. Mean air conduction hearing threshold was 59.27 ± 15.67 dB HL before tympanoplasty and 43.10 ± 14.64 dB HL after (P<0.05). The mean bone conduction hearing threshold was 23.06 ± 9.18 dB HL before operation, and 22.82 ± 7.49 dB HL after (P>0.05). The mean air bone gap (ABG) was 36.21 ± 11.88 dB before operation, and 19.40 ± 12.92 dB at followed up (p<0.05). The total effectiveness rate (post-operative ABG within 15 dB) was 41.94%(13/31). Conclusion Titanic os-sicular replacement prostheses in tympanoplasty with one stage ossicular chain reconstruction can produce satisfactory hearing results, with relatively few complications, and is worth popularizing.

关键词

钛质人工听骨/听骨链重建/气骨导差(ABG)/鼓室成形术

Key words

titanic ossicular/Ossicular chain reconstruction/air-bone-gap/Tympanoplasty

分类

医药卫生

引用本文复制引用

赵丹,童步升,邱建新,刘业海,段茂利..钛质人工听骨在一期鼓室成形术中的应用[J].中华耳科学杂志,2016,14(1):71-74,4.

基金项目

安徽省教育厅自然基金重点项目,2014KJ120 ()

中华耳科学杂志

OA北大核心CSCDCSTPCD

1672-2922

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