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[Application of facial recess approach in intact-bridge tympanomastoidectomy]
Yong Tang1, Jian-jun Sun, Yang Liu
1Center of Otorhinolaryngology, Chinese People's Liberation Army, Navy General Hospital, Beijing, China.
Objective:
To introduce and evaluate the application of facial recess approach in modified intact-bridge tympanomastoidectomy (IBM) procedures for cholesteatoma otitis media and improve the surgery results and living quality of patients following the operation of tympanomastoidectomy.
Methods:
Sixty-five cases of tympanomastoidectomy for cholesteatoma otitis media followed for more than 3 years between 2000 - 2003 were retrospective analyzed. The long-term results of recurrence and hearing level of IBM were discussed.
Results:
In total sixty-five ears received modified IBM, there were sixty ears improved hearing level (threshold improved > 10 dB), and the pure-tone average threshold improved by (18.5 +/- 7.3) dB after operation and the dry ear was obtained in 60 cases (95%).
Conclusions:
With the modified IBM technique, cholesteatoma could be completely and safely removed from the middle ear, and a durable reconstruction of the middle ear with reasonable hearing could be achieved. Therefore, the modified IBM technique was a reasonable choice for the surgical treatment of cholesteatoma otitis media.
