气球扩张改善了患有阻塞性尤斯塔希管功能障碍的患者的听力水平和生活质量
Leena Pöyhönen1, Juha Silvola2, Dennis Poe3
1Department of Ear and Oral Diseases, Tampere University Hospital, P.O. Box 2000, 33521, Tampere, Finland.
概括
气球尤斯塔基管整形 (BET) 改善了慢性阻塞性尤斯塔基管功能障碍 (OETD), tympanic 膜收缩或中耳溢出患者的听力和生活质量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 听力学 听力学是指听力学.
背景情况:
- 慢性阻塞性尤斯塔希管功能障碍 (OETD) 可能导致耳膜 (TM) 收缩和中耳溢出 (MEE).
- 这些情况导致传导性听力损伤和生活质量 (QoL) 降低.
研究的目的:
- 在OETD患者的气球尤斯塔基管整形术 (BET) 后评估听力结果和主观QOL变化.
- 评估BET对TM收缩和MEE的疗效.
主要方法:
- 展望研究25个耳朵的TM收缩和18个耳朵的MEE由于OETD.
- 患者接受了BET作为唯一的干预措施.
- 术前和术后测量结果包括耳镜检查,瓦萨尔瓦操作,耳 tympanometry,听力测量,尤斯塔希管炎症量表和格拉斯哥福利清单 (GBI).
主要成果:
- 统计学上显著的听力值改善 (p<0.05) 为3dB (TM收缩) 和9dB (MEE).
- 总的GBI结果表明对QoL的积极影响.
- 瓦萨尔瓦的成功率:80% (TM 收缩),67% (MEE). tympanometry 改善了 50% (TM 收缩) 和 33% (MEE) 的情况.
结论:
- 在TM收缩或MEE患者中,BET对传导性听力损失和QoL产生了积极的影响.
- 与MEE组相比,TM收缩组的治疗结果更为有利.
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