中国耳鼻咽喉头颈外科2017,Vol.24Issue(7):355-357,3.DOI:10.16066/j.1672-7002.2017.07.008
耳甲腔软骨在保留骨桥的鼓室乳突切除术中应用
Clinical application of auricular cartilage in intact bridge tympanomastoidectomy
王胜军 1侯晓燕 1尹飞1
作者信息
- 1. 安徽省立医院耳鼻咽喉头颈外科,安徽 合肥 230001
- 折叠
摘要
Abstract
OBJECTIVE To investigate and evaluate the effects of intact-bridge tympanoplasty using auricular cartilage in treating chronic otitis media. METHODS A retrospective review of 86 cases undergoing an intact-bridge tympanomastoidectomywas performed from July,2013 to May,2016.The auricular cartilage was placed on the attic and tympanic antrum entrance to reconstruct the attic. RESULTS The outcome of dry ear and well-epithelialized mastoid cavities was achieved after 4-6 weeks. After 6-month follow-up no recurrence occurred. The pure-tone average threshold improved by (25.4±6.3) dB HL after operation,and the mean air bone gap was elevated. CONCLUSION On the basis of combination of closed and open techniques,the IBM technique is a optimal cure strategy for chronic otitis media,which can not only remove the pathological changes thoroughly to prevent disease recurrence but also maximally improve the hearing of the diseased ear.The closure of attic with auricular cartilage can ensure the space of the ossicular chain.关键词
中耳炎,化脓性/耳外科手术/临床方案/耳廓软骨Key words
Otitis Media/Suppurative/Otologic Surgical Procedures/Clinical Protocols/auricular cartilage引用本文复制引用
王胜军,侯晓燕,尹飞..耳甲腔软骨在保留骨桥的鼓室乳突切除术中应用[J].中国耳鼻咽喉头颈外科,2017,24(7):355-357,3.