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内镜内内透视管的方法和需要神经膜切除的必要性

Mark A Damante¹, Stephen T Magill², Daniel Kreatsoulas¹

¹Department of Neurological Surgery, The Ohio State University College of Medicine, Columbus, Ohio, U.S.A.

The Laryngoscope

|December 13, 2023

概括

在扩展性内鼻转管 (EETA) 手术中切除尤斯塔希管 (ET) 显著增加了随后的膜切除的需要. 接受EETA的患者应被告知这种风险,特别是在进行ET切除时.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经外科神经外科
手术瘤学手术瘤学

背景情况:

扩展的内鼻转形方法 (EETA) 提供了进入中部和后部洞的途径.
传统上,在EETA期间切除欧斯塔基管 (ET) 需要进行膜切除术以排水.
引入了侧ET转移以减轻切除相关的发病率,但其对线索切除率的影响尚不清楚.

研究的目的:

为了比较ET切除后的后续髓切除术率与EETA期间的侧向侧向转移率.
为了识别与EETA后 myringotomy的需要相关的因素.

主要方法:

对接受EETA的91名患者进行了回顾性队列研究.
收集的数据包括患者人口统计学,瘤特征,ET管理 (切除与转移) 和线索切除的发生.
统计分析涉及单变量和多变量逻辑回归.

主要成果:

在EETA后,27名患者需要进行脑膜切除术.
ET切除与需要进行髓切除术显著相关 (p=0.005).
恶性病理和手术后辐射与单变量分析但不是多变量分析的线索切除有关.

结论:

在EETA期间的尤斯塔基管切除是术后脑膜切除术需要的重要预测因素.
应向患者提供有关ET功能障碍的风险和在ET切除后可能需要进行线索切除术的建议.
虽然与恶性瘤和辐射等其他因素有关,但ET切除是线索切除的主要相关因子.

关键词:

发生并发症,并发症.进行内镜检查.扩展的内鼻性方法.这就是 myringotomy 的意思.结果就是结果.骨基础手术是什么?变形形形动物一个跨形的形.

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