早期手术干预对慢性中耳炎患者口味功能恢复的影响
K Periyal1, P M Raghuraman1, G Selvarajan1
1Department of ENT, SRM Medical College Hospital & Research Centre, Chennai, India.
概括
慢性中耳炎 (COM) 的早期手术可以改善 tympani神经的功能. 疾病持续时间较短的患者在手术干预COM后经历了更好的味道恢复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 微生物学 微生物学
背景情况:
- 慢性中耳炎 (COM) 涉及中耳炎症和细菌殖民.
- 耳神经对味觉至关重要,在中耳有一个暴露的通路,使其容易受到COM相关的损伤.
- 伤害鼓神经可以损害舌头前三分之二的味觉功能.
研究的目的:
- 调查早期手术干预对Corda tympani神经功能对COM患者的影响.
- 评估疾病持续时间和手术后味觉恢复之间的相关性.
主要方法:
- 一项涉及90名接受手术的COM患者的研究.
- 根据疾病持续时间,患者被分为三组:<5年,5-10年和>10年.
- 味觉功能 (5 种基本味觉) 在手术前,手术后2 周和手术后8 周被评估.
主要成果:
- 在研究人群中观察到左侧和男性占主导地位 (54.4%).
- 与其他组相比,患病史不到5年的患者在手术后明显改善了口味功能.
- 耳朵干燥的持续时间较长与更好的功能结果相关.
结论:
- 在COM中进行早期手术干预可以防止胆 tympani神经功能进一步恶化.
- 及时的手术治疗有助于完全恢复味觉,特别是当在疾病的早期开始时.
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