| 开放式鼓室成形术治疗胆脂瘤中耳炎 |
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| 引用本文： | 牟善宇,乔秀军,李建胜.开放式鼓室成形术治疗胆脂瘤中耳炎[J].山东医大基础医学院学报,2007(3). |
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| 作者姓名： | 牟善宇 乔秀军 李建胜 |
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| 作者单位： | 日照市人民医院耳鼻喉科 山东日照276800 |
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| 摘 要： | 目的:探讨开放式鼓室成形术治疗胆脂瘤中耳炎的疗效。方法:对23例胆脂瘤中耳炎患者行开放式鼓室成形术。结果:随访1~3年,23耳全部干耳,无胆脂瘤复发,无眩晕和面瘫并发症。20例移植筋膜成活,2例鼓膜再穿孔,1例鼓膜疤痕内陷。术后纯音测听语言频率气导平均听阈,提高25~30 dBHL 5耳,提高15~20 dBHL 13耳,提高10 dBHL 2耳,无变化3耳。结论:为胆脂瘤型中耳炎患者行开放式鼓室成形术,能根治病变,听力恢复效果好,复发率低,是一种较为实用的手术方法。
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| 关 键 词： | 鼓室成形术 开放式 胆脂瘤 中耳炎 |
Open tympanoplasty for otitis media with cholesteatoma |
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| MU Shan-yu,QIAO Xiu-jun,LI Jian-sheng.Open tympanoplasty for otitis media with cholesteatoma[J].Journal of Preclinical Medicine College of Shandong Medical University,2007(3). |
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| Authors: | MU Shan-yu QIAO Xiu-jun LI Jian-sheng |
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| Abstract: | Objective: To investigate the effect of open tympanoplasty for patients with cholesteatoma of the middle ear.Method: Twenty-three ears with cholesteatoma were treated by open tympanoplasty.Results: During a follow-up of one to three years,all had dry ears without relapse and vertigo or facial paralysis.Among them,20 cases had normal tympanic membranes,2 had perforation,and 1 had a sunken tympanic membrane.Hearing was improved by 25 to 30 dBHL in 5 ears,15 to 20 dBHL in 13 ears,10 dBHL in 2 ears,and not improved in 3 ears.Conclusion: Open tympanoplasty should be carried out in treating otitis media with cholesteatoma to improve the hearing and decrease relapse. |
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| Keywords: | Tympanoplasty open Cholesteatoma Otitis media |
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