摘要
目的 探讨内镜辅助下茎突截短术的可行性.方法 2010年6月至2013年3月对60例患者行经耳后切口的内镜辅助下茎突截短术,其中单侧截短7例,双侧截短53例.结果 所有患者成功行茎突截短,切口长度约2.0～2.5 em,单侧截短手术时间为（21.3±4.8）min（x-±s,下同）,双侧截短手术时间（48.5±11.4）min.60例患者中54例术后症状完全缓解,3例症状减轻,3例症状无明显缓解.随访3 ～70个月,中位随访时间22个月,症状无复发.3侧术后出现耳周麻木感,3个月后消失；另有1侧出现暂时性周围性面瘫,3个月后恢复.结论 经耳后切口内镜辅助下茎突截短术相对安全、微创,术后美观效果较好.
Objective To investigate the feasibility of the endoscope-assisted styloidectomy.Methods Sixty patients with Eagle＇s syndrome undergoing the endoscope-assisted styloidectomy via postauricular incision,including 7 unilateral and 53 bilateral,between June 2010 and March 2013 were reviewed.Results The styloid processes in all patients were resected successfully via this approach,with the incision length range of 2.0 to 2.5 cm.The mean operative time was （21.3 ± 4.8） min （x-± s）,for unilateral surgery and （48.5 ± 11.4） min for bilateral surgery.Fifty-four patients symptom showed complete remission of symptom,3 cases with decrease in symptom and other 3 cases with no significant relief of symptom after surgery.None case recurred for follow-up of 3 to 70 months.There were 3 sides with ear numbness after surgery for 3 months,and one case had transient facial paralysis and recovered after 3 months.Conclusions The endoscope-assisted styloidectomy via postauricular incision is effective and feasible. Keywords：Styloid process ; Ossification, heterotopic ; Temporal bone ; Otorhinolaryngologic surgical procedures ; Endoscopy
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2013年第11期939-941,共3页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
茎突
骨化
异位性
颞骨
耳鼻喉外科手术
内窥镜检查
Styloid process
Ossification, heterotopic
Temporal bone
Otorhinolaryngologicsurgical procedures
Endoscopy
