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气球欧斯塔基管整形,是否与欧斯塔基管功能障碍中的线索切除术相结合

Wei-Chieh Lin¹, Yao-Wen Chang¹, Ting-Ya Kang¹

¹Department of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, Taiwan.

Journal of personalized medicine

|November 25, 2023

概括

气球欧斯塔基管整形 (BET) 有效地治疗欧斯塔基管功能障碍 (ETD). 在BET中添加线索切除术并没有改善结果,并且增加了穿孔风险,这表明单独BET可能足够.

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.

背景情况:

尤斯塔基管功能障碍 (ETD) 是一种普遍的疾病,导致耳朵不适和听力损失.
气球尤斯塔基管整形 (BET) 是一种用于ETD的新型内镜手术.
结合线索切除术和BET的好处仍在争论中.

研究的目的:

为了比较单独使用BET的疗效与与 myringotomy (BET + M) 结合使用BET的疗效,治疗ETD.
评估接受这些手术的ETD患者的主观和客观结果.

主要方法:

追溯分析95名ETD患者 (44名单独BET,51名BET+M).
主要结局:6个月后,欧斯塔基管功能障碍问卷-7 (ETDQ-7) 得分的变化.
二次结果:听力测量,内镜,瓦萨尔瓦机动和并发症率.

主要成果:

单独使用BET和BET + M都显著改善了ETDQ-7分数 (p < 0.001).
两组之间ETDQ-7得分,听力测量,内镜或瓦萨尔瓦结果没有显著差异 (p = 0.417).
在BET+M组中的1名患者经历了持续的耳膜穿孔.

结论:

单独使用BET和BET+M对于ETD是安全有效的.
除了BET外,线索切除术并不能改善结果,并引入诸如穿孔等风险.
单独使用BET可能是ETD的足够治疗方法,因此需要进一步研究组合方法的最佳患者选择.

关键词:

在ETDQ-7分数中,ETDQ-7的得分是尤斯塔基管的功能障碍气球扩张膨胀气球扩张这就是 myringotomy 的意思.

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