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題 名 | 乳突腔復原術=Mastoidectomy Elimination |
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作 者 | 林建良; 陳彥銘; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 33:3 1998.06[民87.06] |
頁 次 | 頁58-63 |
分類號 | 416.821 |
關鍵詞 | 乳突填塞術; 乳突腔復原術; Mastoidectomy obliteration; Mastoidectomy elimination; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:開放式乳突鑿開術是治療膽脂瘤的標準術式之一,雖然它具有較低復發率 的優點,但是術後卻可能有需定期清理耳道、易耳漏、眩暈、感染、進水後易頭暈、聽力重 建較差等缺點。本研究在於探討乳突填塞術對有開放性乳突腔為其併發症所困擾,且經保守 性治療效果不佳者之療效。 方法:利用自體骨、軟骨、或皮瓣填塞病人之開放性乳突腔。 結果:新光醫院收集自民國 81 年 9 月至民 86 年 4 月間具上述情形之 15 名病患,施以 乳突填塞術,這 15 名病人至本院就診以耳漏為主訴者佔 10 名,接受乳突填塞術後有 80% ( 8/10 )獲得完全改變、20% ( 2/10 )有些許改善; 以聽力障礙為主訴者佔 2 名,接 受乳突填塞術後有 50% ( 1/2 )有所改善、50% ( 1/2 )並無明顯改善; 以耳道反復發 炎為主訴者佔 2 名,接受乳突填塞術後均有明顯改善;以眩暉為主訴者佔 1 名,接受乳突 填塞術後已有明顯改善。 結論:本研究顯示對有開放性之乳突腔且為其併發症所長期困擾者,在經保守治療無效時, 乳突填塞術是一值得考慮的治療方式。 |
英文摘要 | Background: Open-technique mastoidectomy is an option of operations for treating cholesteatoma. In spite of the advantage of lower recurrence, it may have the complications such as cleaning canal periodically, recurrent otorrhea, vertigo, infection, watery precaution, and bad hearing gain etc. This study shows what benefit can get for patients suffering form above symptoms with poor conservative treatment response after mastoidectomy obliteration. Method: We reconstructed the opencavity mastoids with homograft (bony chip, cartilage, or flap) for those patients with above symptoms at our hospital. Result: In this report, there are 15 cases treated by mastoidectomy obliteration. Ten patients had the chief complication of otorrhea and 80% (8/10) of them have complete recovery and 20% (2/10) partial recovery after mastoidectomy obliteration. Two patients had the chief complication of hearing impairment and 50% (1/2) of them gets hearing improving after mastoidectomy obliteration. But the other doesn't. Two patients had the chief complication of recurrent infections and they all had obvious improvement after mastoidectomy obliteration. Onee patient with the chief complication of vertigo had obvious improvement after mastoidectomy obliteration. Conclusion: Mastoidectomy obliteration is a good treatment for those patients who have open mastoid cavity suffering from their complication with poor medical response. |
本系統中英文摘要資訊取自各篇刊載內容。