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中耳胆脂瘤开放式乳突切开鼓室成形术并发症分析
引用本文:李菊兰,王瑜玲,戴华,李东艳. 中耳胆脂瘤开放式乳突切开鼓室成形术并发症分析[J]. 武警医学, 2021, 32(5): 403-406
作者姓名:李菊兰  王瑜玲  戴华  李东艳
作者单位:1.614000 乐山,武警四川总队医院特色专业二科;2.100041 北京,解放军总医院京西医疗区
摘    要:
目的 分析中耳胆脂瘤开放式乳突切开鼓室成形术并发症发生情况,探讨发生原因.方法 回顾分析2007-02至2017-02随访的438例行开放式乳突切开鼓室成形术的中耳胆脂瘤患者术后并发症发生情况.结果 438例中耳胆脂瘤手术患者,常见的10种手术并发症为术后听力下降(15.8%)、外耳道狭窄(9.6%)、患侧味觉下降(7...

关 键 词:中耳  胆脂瘤  乳突切开  鼓室成形术  并发症
收稿时间:2020-03-10

Clinic Analysis of Surgery Complications of Open Mastoidectomy with Tympanoplasty from 438 Cases of Middle Ear Cholesteatoma
LI Julan,WANG Yuling,DAI Hua,LI Dongyan. Clinic Analysis of Surgery Complications of Open Mastoidectomy with Tympanoplasty from 438 Cases of Middle Ear Cholesteatoma[J]. Medical Journal of the Chinese People's Armed Police Forces, 2021, 32(5): 403-406
Authors:LI Julan  WANG Yuling  DAI Hua  LI Dongyan
Affiliation:1. Department of Otorhinolaryngology Head and Neck Surgery, Sichuan Provincial corps Hospital, The Chinese People's Armed Police Forces, Leshan 614000, China;2. Jingxi Medical District of PLA General Hospital,Beijing 100041,China
Abstract:
Objective To discuss the effective measures through analyzing the complications of open mastoidectomy with tympanoplasty from 438 cases of middle ear cholesteatoma.Methods All of the complications of open mastoidectomy with tympanoplasty from 438 cases of middle ear cholesteatoma were analyzed.Results Of those 438 cases of middle ear cholesteatoma, hearing loss(15.8%), ear canal stenosis(9.6%) , unilateral taste decline(7.8%),diziness(3.7%),infection(2.5%),prolapse of the artificial ossicle(2.1%),relapse(2%),tinnitus(1.8%),otorhinorrhea(1.1%),facioplegia(0.5%)were the common 10 complications. Among them, hearing loss, ear canal stenosis and unilateral taste decline were the first three.Conclusions The surgeon should be familiar with the complex middle ear structure and improve the skill constantly to reduce complications.
Keywords:middle ear  cholesteatoma  mastoidectomy  tympanoplasty  complications  
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