慢性活动期化脓性中耳炎咽鼓管功能障碍一期鼓室成形术的效果

Abstract
Figure/Table
References
Related Citation (1)

Download: PDF (1753 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effect of phase Ⅰtympanoplasty on active chronic suppurative otitis media with Eustachian tube dysfunction. Methods 70 patients with complete data from 87 patients(ears) who suffered from active chronic suppurative otitis media with Eustachian dysfunction were recruited and received the intact canal wall mastoidectomy and phase Ⅰtympanoplasty in this department from June 2008 to October 2013. They were followed up for one year, and their healing rates of the eardrum and hearing restoration were analyzed. Results 68 cases had eardrum healing, with a success rate of 97.14 %(68/70). There was no graft shift, obtuse healing, atrophic eardrums, cholesteatoma formation, sensorineural hearing loss or fungal infections in external auditory canals. The preoperative average hearing level of air conduction was (42.7±4.6)dB, and the average gap between bone conduction and air conduction was (27.5±3.1) dB. The postoperative average hearing level of air conduction was (30.3±5.3)dB, and the average gap between bone conduction and air conduction was (15.1±3.0)dB, which was significantly improved (P<0.01), in which 53 cases with less than 20 dB gap between bone conduction and air conduction, the rate was 77.94%. Conclusions Active chronic suppurative otitis media with Eustachian dysfunction undergoing effective surgery and postoperative treatment can achieve good results and worth popularizing in clinic.

Key words： Chronic suppurative otitis media Eustachian dysfunction Intact canal wall mastoidectomy Otomicrosurgery

Received: 06 May 2015

ZTFLH:

R764.92

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2015/V26/I11/1137

[9]	张武宁,唐安洲,徐志文,等.慢性化脓性中耳炎的咽鼓管功能对手术疗效的影响[J]. 中华耳科学杂志,2004,2(2) :114-117.
[1]	杨伟炎.鼓室成形术适应证的选择[J]. 中华耳鼻咽喉科杂志,1996,31(2) :67-68.
[10]	倪关森,乔艺,钟笑,等.鼓膜修补术后穿孔的危险因子及再修补[J]. 中华耳鼻咽喉头颈外科杂志,2005,40(8) :625-626.
[2]	孙建军,刘阳.中耳炎临床分类和手术分型指南(2012)解读[J]. 中华耳鼻咽喉头颈外科杂志,2013,48(1) :6-10.
[11]	王荣光.咽鼓管手术发展史[J]. 国际耳鼻咽喉头颈外科杂志,2012,36(4):247-248.
[3]	黄选兆,汪吉宝,孔维佳. 实用耳鼻咽喉头颈外科学[M].2版.北京: 人民卫生出版社,2008:741-745.
[12]	Begrow F, Bkenholt C, Ehmen M, et al. Effect of myrtol standardized and other substances on the respiratory tract: ciliary beat frequency and mucociliary clearance as parameters [J]. Adv Ther,2012,29:350-358.
[4]	刘阳,孙建军,林勇生.保留骨桥的乳突鼓室成形术(IBM)远期疗效与相关技术再探讨[J].中华耳科学杂志,2007,5(2) :148-151.
[5]	陈仁物,黄小华,陈海英,等. 特定电磁波在中耳乳突术后的应用[J]. 武警医学,2013,24(2) : 117-118.
[13]	陈仁物,吴寒冰,牛建瑛. 红外线在中耳乳突术后的应用[J]. 中华物理医学与康复杂志,2002,24(6) : 382-383.
[6]	张抗美,徐永田,冯益进,等. 多种技术治疗慢性中耳炎[J]. 中华耳科学杂志,2009,7(1) :51-54.
[7]	申玉梅. 并发咽鼓管阻塞的慢性化脓性中耳炎鼓室成形术的临床体会[J]. 中华耳鼻咽喉头颈外科杂志,2005,40(4) : 303-304.
[8]	刘燕青,田兴德,强笔. 硬膜外导管在鼓室成形术中探查和疏通咽鼓管中的使用效果[J]. 长江大学学报(自然科学版)医学,2012,9(1) : 8-9.
[9]	张武宁,唐安洲,徐志文,等.慢性化脓性中耳炎的咽鼓管功能对手术疗效的影响[J]. 中华耳科学杂志,2004,2(2) :114-117.
[10]	倪关森,乔艺,钟笑,等.鼓膜修补术后穿孔的危险因子及再修补[J]. 中华耳鼻咽喉头颈外科杂志,2005,40(8) :625-626.
[11]	王荣光.咽鼓管手术发展史[J]. 国际耳鼻咽喉头颈外科杂志,2012,36(4):247-248.
[12]	Begrow F, Bkenholt C, Ehmen M, et al. Effect of myrtol standardized and other substances on the respiratory tract: ciliary beat frequency and mucociliary clearance as parameters [J]. Adv Ther,2012,29:350-358.
[13]	陈仁物,吴寒冰,牛建瑛. 红外线在中耳乳突术后的应用[J]. 中华物理医学与康复杂志,2002,24(6) : 382-383.