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題名 | 鼓室成形術併開放式乳突鑿開術:101例分析=Tympanoplasty with Open Cavity Mastoidectomy: Analysis of 101 Cases |
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作者 | 洪敬賢; 洪朝明; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 32:4 1997.08[民86.08] |
頁次 | 頁9-15 |
分類號 | 416.821 |
關鍵詞 | 乳突鑿開術; 開放腔; 膽脂瘤; Mastoidectomy; Open cavity; Cholesteatoma; |
語文 | 中文(Chinese) |
中文摘要 | 過去 11 年因慢性中耳炎於國泰醫院耳鼻喉科接受開放式乳突鑿開術併鼓室成形 術的新鮮病例共 101 例( 102 耳)。手術的適應症為:(1) 粘連性中耳炎,(2) 膽脂瘤範 圍超過上鼓室,(3) 肉芽組織充塞上鼓室並圍繞聽小骨而不易清除者。聽力重建則視中耳腔 殘存黏膜狀況和聽小骨受損程度,以單階段或兩階段完成。所有患者於乳突腔復原後的追蹤 期間皆無耳漏。除 1 耳鼓膜再度塌陷外,其餘均無膽脂瘤復發跡象。在 29 次的第 2 階段 手術中,僅發現 3 耳在中耳腔有上皮珠,這 29 耳均無復發的膽脂瘤。 接受聽小骨成形術 者的術後聽力如下:單階段手術者氣骨導差間距平均為 24 dB,兩階段手術者氣骨導差間距 平均為 23 dB,並無顯著差異。 |
英文摘要 | This article reviewed 101 patients (102 ears) who received tympanoplasty with open cavity mastoidectomy at our department in the past 11 years. The indications to perform the procedure were: (1) adhesive otitis media, (2) cholesteatoma involved beyond the attic, and (3) granulation tissue full of the attic and surrounding the ossicles. Hearing reconstruction was completed in one-stage or two-stage method, according to the conditions of the ossicles and the remained mucosa of the mesotympanum. All patients had dry cavities after surgeries. No one suffered from recurrent diseases during the follow-up period, except an atelectasis in one ear. In 29 ears received second-stage operations, we found epithelial pearls in 3 ears, and no evidence of recurrent cholesteatoma in these ears. The results of hearing reconstruction were as follows: an average air bone gap of 24 dB in the patients received one-stage operations, and 23 dB in two-stage ones. No significant differences in the two groups in hearing gains were found. |
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