在中型和大孔穿孔的内镜I型耳膜整形术后的听力结果
Lihua Yue1, Xiao Liu1, Hongyan Liu1
1Zhejiang University School of Medicine, The Second Affiliated Hospital, Department of Otolaryngology, Hangzhou, China.
Brazilian journal of otorhinolaryngology
|October 10, 2024
概括
内镜I型耳造形术有效地改善了慢性中耳炎引起的中型到大型耳穿孔患者的听力. 手术提供了令人满意的结果,特别是当骨链完好无损时,即使是 tympanosclerosis.
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:
- 慢性中耳炎经常导致中大小的耳膜穿孔.
- 与这些穿孔相关的听力损失会影响生活质量.
- 内镜 tympanoplasty 提供了一种微创的方法来修复鼓膜.
研究的目的:
- 为了评估听力后的结果内镜型I耳造形对于中等和大耳膜穿孔.
- 评估 tympanosclerosis 对听力结果的影响.
- 为了确定这种手术技术在慢性中耳炎中的疗效.
主要方法:
- 对156名接受内镜式I型耳 tympanoplasty的患者的回顾性分析 (2019年1月至2021年12月).
- 术前和术后空调 (AC) 和空气骨 (ABG) 值的比较.
- 排除患有胆固醇瘤,牙固定或广泛的乳腺腺疾病的病例.
主要成果:
- 在中型和大型穿孔组中,AC和ABG在手术后显著改善.
- 带腔化对手术前的听力产生了负面影响,特别是在低频率.
- 基于穿孔大小或 tympanosclerosis 存在的术后听力结果没有显著差异.
结论:
- 内镜式I型耳造形术在慢性中耳炎中对中型/大型穿孔有效,改善AC和ABG.
- tympanosclerosis,特别是 tympanic 腔化,可能会影响手术前的听力,但并不排除成功的手术结果.
- 可以达到令人满意的听力结果,前提是骨链完好无损且功能正常.
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