分期行听骨链重建术的影响因素研究进展

Progress in the study of factors influencing staged Ossicular chain reconstruction

听骨链重建术是鼓室成形术中的一部分,用于治疗各种听骨功能障碍。关于听骨链的重建应当在鼓室成型术一期时完成还是二期单独进行,目前存在较多争议,一些学者指出在一期手术期间发现中耳环境差,需考虑二期行听骨修复,但这主要由外科医生的经验决定。目前关于是否二期行听骨链重建术的标准还未达成共识,本文从目前已有的中耳风险评价方案以及术后长期随访报告着眼,总结影响听骨链分期重建术的影响因素,以期为耳科医生提供更为客观的临床工作建议。

Ossicular chain reconstruction is a part of tympanoplasty which is used to treat various Ossicular bone dysfunctions.There is still a lot of controversy as to whether the reconstruction of the Ossicular chain should be done in the first stage of tympanoplasty or the second stage alone.Some scholars pointed out that during the first stage of surgery,the environment of the middle ear was poor,and second stage surgery of Ossicular bone repair should be considered.However,this is mainly determined by the surgeon's experience.This article summarizes the factors influencing the staged reconstruction of the Ossicular chain in the context of the currently available middle ear risk assessment protocols and long-term postoperative follow-up reports,with the aim of providing otologists with more objective clinical recommendations.