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
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 ()