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Clinic Analysis of Surgery Complications of Open Mastoidectomy with Tympanoplasty from 438 Cases of Middle Ear Cholesteatoma |
LI Julan1, WANG Yuling1, DAI Hua1, LI Dongyan2 |
1. Department of Otorhinolaryngology Head and Neck Surgery, Sichuan Provincial corps Hospital, The Chinese People's Armed Police Forces, Leshan 614000, China; 2. Jingxi Medical District of PLA General Hospital,Beijing 100041,China |
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Abstract Objective To discuss the effective measures through analyzing the complications of open mastoidectomy with tympanoplasty from 438 cases of middle ear cholesteatoma.Methods All of the complications of open mastoidectomy with tympanoplasty from 438 cases of middle ear cholesteatoma were analyzed.Results Of those 438 cases of middle ear cholesteatoma, hearing loss(15.8%), ear canal stenosis(9.6%) , unilateral taste decline(7.8%),diziness(3.7%),infection(2.5%),prolapse of the artificial ossicle(2.1%),relapse(2%),tinnitus(1.8%),otorhinorrhea(1.1%),facioplegia(0.5%)were the common 10 complications. Among them, hearing loss, ear canal stenosis and unilateral taste decline were the first three.Conclusions The surgeon should be familiar with the complex middle ear structure and improve the skill constantly to reduce complications.
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Received: 10 March 2020
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[1] |
王 进,何 跃. 开放式改良乳突根治术后恢复期常见问题的原因及对策[J]. 中国耳鼻咽喉头颈外科, 2013, 20(11):573-574.
|
[2] |
郭小艳,耿曼英. 中耳术后鼓索神经损伤的药物治疗[J]. 中国实用神经疾病杂志, 2020, 23(7):616-618
|
[3] |
Garap J P, Dubey S P. Canal-down mastoidectomy: experience in 81 cases[J]. Otol Neurotol, 2001, 22(4):451-456.
|
[4] |
陈林军, 韩维举, 申卫东, 等. 中耳胆脂瘤并发周围性面瘫的外科手术治疗附例报告[J]. 临床耳鼻咽喉头颈外科杂志, 2017, 31(16):1247-1250.
|
[5] |
薛文悦,王 慧, 冯艳梅, 等. 中耳胆脂瘤伴面神经麻痹患者术后疗效分析[J]. 中华耳科学杂志, 2019, 17(4):488-491.
|
[6] |
王胜军, 尹 飞, 蒋懋雨. 钛质人工听骨在中耳胆脂瘤一期开放式鼓室成形重建中的应用[J]. 中国组织工程研究,2021,25(22):3505-3509.
|
[7] |
李菊兰, 蔡华成, 王瑜玲. 78例开放式乳突根治鼓室成形术应用人工听骨后听力分析[J]. 中华耳科学杂志,2013.11(1): 88-90.
|
[8] |
徐驰宇, 鲁兆毅, 马芙蓉, 等. 乳突根治术后不干耳的原因及再根治手术要点分析[J]. 中华临床医师杂志, 2020,14(3):197-202.
|
[9] |
侯昭晖, 李瑞香, 杨仕明. 耳内镜技术在中耳胆脂瘤手术中的应用策略[J]. 中华耳科学杂志, 2017,15(4): 393-397.
|
[10] |
廖建彬. 耳内镜微创治疗中耳胆脂瘤临床分析[J]. 中国医药科学, 2020, 10(17):224-227.
|
[11] |
Hamed S. Endoscopic transcanal modified canal wall down mastoidectomy for cholesteatorna[J].World Jour of Otorh, 2017, 13(3):153-159.
|
[12] |
孔维佳. 耳内镜手术是昙花一现还是技术革命?(Ⅱ)[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(20):1531-1541.
|
[13] |
郑建文, 何云生. 尿糖试纸在脑脊液鼻漏中的应用例报告[J]. 中国耳鼻咽喉颅底外科杂志, 2006, 26(6):469-470.
|
[14] |
龚树生, 熊 伟. 慢性中耳炎的规范化诊治[J]. 临床耳鼻咽喉头颈外科杂志, 2017, 31(16):1221-1224.
|
[15] |
闫亚平, 崔程敏, 张淑香.良性阵发性位置性眩晕复位即时疗效不佳的影响因素[J]. 武警医学, 2018.29(8): 776-779.
|
|
|
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