软与骨运河墙壁重建的结果与形切除
Adam Samuel Vesole1, Edward J Doyle1, Katelyn Sarkovics1
1Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, Ohio.
概括
骨壁运河壁重建 (B-CWR) 和软壁运河壁重建 (S-CWR) 均同样有效用于胆固醇瘤治疗. 复发,听力结果和并发症在两种手术技术之间没有显著差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 手术创新 在外科创新.
背景情况:
- 胆固醇瘤是中耳中的破坏性表皮生长,需要手术干预.
- 运河壁重建 (CWR) 与乳腺消灭 (MO) 是胆固醇瘤的常见手术方法.
- 软壁 (S-CWR) 和骨壁 (B-CWR) 重建材料之间的选择仍然是临床考虑的主题.
研究的目的:
- 为了比较S-CWR与B-CWR与MO在胆固醇瘤手术中的疗效和安全性.
- 评估两种CWR技术之间的复发率,听力测试结果和术后并发症的差异.
主要方法:
- 在第三级神经病学推中心进行了回顾性图表审查.
- 分析了在2011年1月至2022年1月期间接受CWR和MO治疗胆固醇瘤的90名成年患者.
- 手术结果,包括复发,听力指标 (纯音调平均值,语音接收值,词识别得分,气骨间隙) 和并发症,在术后至少12个月被评估.
主要成果:
- 在B-CWR (17.3%) 和S-CWR (18.4%) 之间没有观察到胆固醇瘤复发率的显著差异.
- 听力测试结果,包括术前和术后的气骨间隙变化以及术后气骨间隙<20dB的比例,在两组之间没有显著差异.
- 虽然并发症的发生率相似,但B-CWR显示小额耳膜穿孔/收缩的发生率更高 (63%对40%).
结论:
- 带有MO的B-CWR和S-CWR都在消除胆固醇瘤和保护外部听道解剖学和听力方面表现出相似的有效性.
- 在B-CWR和S-CWR之间的选择可能会受到外科医生的偏好和技术专业知识的影响.
- 进一步的研究可以探索影响技术选择的长期结果和患者特定因素.
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