中华耳科学杂志2018，Vol.16Issue(2)：181-186,6.DOI:10.3969/j.issn.1672-2922.2018.02.011
耳内镜下自体听骨链重建术的应用
Endoscopic Ossiculoplasty with Autogenous Ossicles
摘要
Abstract
Objective To report the experience and advantagesof endoscopic ossiculoplasty with autogenous ossi-cles.Methods The study was a retrospective analysis of 32 patients who received endoscopic tympanoplasty and ossicu-loplasty with autogenous ossicles.Tympanic membrane healing results and postoperative complications were assessed. The average pre-and postoperative pure tune audiometry air conduction thresholds(AC),as well as changes in air-bone gap(ABGap),were compared to determine degree of improvement.Results Tympanic membranes were successfully re-paired in 31 patients(96.9%).The average AC was improved from 48.0±18.3 dB HL to 30.6±12.1 dB HL(t=2.453,P<0.05).The average ABGap was reduced from 36.6±16.8 dB to 16.0±8.5 dB(t=2.744,P<0.05).No postoperative facial nerve paralysis,taste abnormality,vertigo,autogenous ossicles extrusion or recurrent middle ear disease was observed. One patient had postoperative mild high tone sensorineural hearing loss,accompanied with persistent tinnitus.The other 31 patients did not have any change in bone conduction.Conclusion Endoscopic ossiculoplasty with autogenous ossi-cles has the advantages of easy availability, clear operation visualization, less trauma, improved hearing results and shorter recovery time.However,single-hand operation makes it a challenge to carry out elaborate maneuvers,especially in tympanic cavity bleeding cases.关键词
鼓室成形术/耳内镜手术/自体听骨/听骨链重建术Key words
Tympanoplasty/Endoscopic Ear Surgery/Autogenous Ossicles/Ossiculoplasty分类
医药卫生引用本文复制引用
梁伟英,关亚峰,陆钊群,杨美华,李金贵,曾敬贤..耳内镜下自体听骨链重建术的应用[J].中华耳科学杂志,2018,16(2):181-186,6.基金项目
深圳市卫生计生系统科研项目(201507063) Shenzhen Health and Family Planning System Scientific Research Project(201507063) （201507063）
