目的:观察鼓膜置管联合腺样体切除术治疗分泌性中耳炎儿童伴骨导听力下降的近期效果。方法:2015年1月-2016年3月收集了分泌性中耳炎伴骨导听力下降患儿38例(43耳),行鼓膜置管联合腺样体切除术治疗。3个月后复查听力,比较其术前与术后骨...目的:观察鼓膜置管联合腺样体切除术治疗分泌性中耳炎儿童伴骨导听力下降的近期效果。方法:2015年1月-2016年3月收集了分泌性中耳炎伴骨导听力下降患儿38例(43耳),行鼓膜置管联合腺样体切除术治疗。3个月后复查听力,比较其术前与术后骨导听力变化。结果:术后骨导听力明显提高,2.0 k Hz最显著,与其他频率比较,差异有统计学意义(P<0.05)。36例(39耳)骨导听力恢复正常,治疗有效率90.7%。结论:儿童分泌性中耳炎可引起骨导听力下降,2.0 k Hz最显著,鼓膜置管联合腺样体切除术效果显著。展开更多
Objective:Malleostapedotomy allows to completely by-pass the incus in otosclerosis surgery.Recently its use has been rivaled by hydroxyapatite cement for cases of mild and moderate necrosis of the incus.However,it rem...Objective:Malleostapedotomy allows to completely by-pass the incus in otosclerosis surgery.Recently its use has been rivaled by hydroxyapatite cement for cases of mild and moderate necrosis of the incus.However,it remains gold standard for cases of extensive necrosis,incus dislocation,or epitympanic fixation.Modern heat-crimping pistons make surgery easier and safer.This study focuses on our experience with this technique.Methods:Retrospective analysis of patient’s files and pre-and post-operative audiograms,for cases of surgically treated otosclerosis with malleostapedotomy.Results:Twelve patients underwent malleostapedotomy for otosclerosis between 2011 and 2019.Amongst them there were 10 revision surgeries and 2 primary cases.75%had incus long-process necrosis,17%had epitympanic fixation and one had a history of incus transposition.Nine patients(75%)had closure of air-bone gap(ABG)of<10 dB(p<0.001)and 11(92%)had a threshold of 20 dB(p<0.001).Mean pre-operative ABG was 31 dB(15 dBe55 dB),and mean post-operative ABG was 7 dB(0 dBe21 dB;p<0.001).There was no sensorineural hearing loss nor any other post-operative complication.Conclusions:Malleostapedotomy is a safe and reliable technique,allowing an ABG closure comparable to conventional incus to vestibule prosthesis.It remains the preferred technique whenever the incus cannot be used.展开更多
文摘目的:观察鼓膜置管联合腺样体切除术治疗分泌性中耳炎儿童伴骨导听力下降的近期效果。方法:2015年1月-2016年3月收集了分泌性中耳炎伴骨导听力下降患儿38例(43耳),行鼓膜置管联合腺样体切除术治疗。3个月后复查听力,比较其术前与术后骨导听力变化。结果:术后骨导听力明显提高,2.0 k Hz最显著,与其他频率比较,差异有统计学意义(P<0.05)。36例(39耳)骨导听力恢复正常,治疗有效率90.7%。结论:儿童分泌性中耳炎可引起骨导听力下降,2.0 k Hz最显著,鼓膜置管联合腺样体切除术效果显著。
文摘Objective:Malleostapedotomy allows to completely by-pass the incus in otosclerosis surgery.Recently its use has been rivaled by hydroxyapatite cement for cases of mild and moderate necrosis of the incus.However,it remains gold standard for cases of extensive necrosis,incus dislocation,or epitympanic fixation.Modern heat-crimping pistons make surgery easier and safer.This study focuses on our experience with this technique.Methods:Retrospective analysis of patient’s files and pre-and post-operative audiograms,for cases of surgically treated otosclerosis with malleostapedotomy.Results:Twelve patients underwent malleostapedotomy for otosclerosis between 2011 and 2019.Amongst them there were 10 revision surgeries and 2 primary cases.75%had incus long-process necrosis,17%had epitympanic fixation and one had a history of incus transposition.Nine patients(75%)had closure of air-bone gap(ABG)of<10 dB(p<0.001)and 11(92%)had a threshold of 20 dB(p<0.001).Mean pre-operative ABG was 31 dB(15 dBe55 dB),and mean post-operative ABG was 7 dB(0 dBe21 dB;p<0.001).There was no sensorineural hearing loss nor any other post-operative complication.Conclusions:Malleostapedotomy is a safe and reliable technique,allowing an ABG closure comparable to conventional incus to vestibule prosthesis.It remains the preferred technique whenever the incus cannot be used.
