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| 耳后筋膜-骨膜瓣在乳突充填术中的应用 | |
| 引用本文： | 陆忠华,荣宝刚,李济安. 耳后筋膜-骨膜瓣在乳突充填术中的应用[J]. 山东大学学报(医学版), 2009, 47(7): 107-110 |
| 作者姓名： | 陆忠华 荣宝刚 李济安 |
| 作者单位： | 1. 余姚市人民医院耳鼻咽喉科， 沂江 余姚 315400； 2． 山东大学齐鲁医院耳鼻咽喉-头颈外科， 济南 250012； 3． 皖南医学院二附院耳鼻咽喉-头颈外科， 安徽 芜湖 241000 |
| 摘 要： | 目的探讨经设计的各种不同类型的耳后筋膜-骨膜瓣在乳突填塞术中的应用，以达到提高手术效果及患者术后生活质量的目的。方法回顾性分析216例（耳）行耳后筋膜-骨膜瓣填塞乳突根治术腔的患者临床资料。结果术后随访1.5～4.0年，随访率92.6%。术后干耳率为100%，同期行鼓室成形术的126例术后半年平均语频气导、骨导听阈及气骨导差均较术前提高，1例胆脂瘤复发进行二次手术清除。结论经设计的各种不同类型的耳后筋膜－骨膜瓣，应用在乳突填塞术中对于缩小或消除乳突手术腔效果明显。 |
| 关 键 词： | 乳突充填术；开放式乳突根治术；耳后筋膜－骨膜瓣；胆脂瘤中耳炎 |
| 收稿时间： | 2008-08-18 |
Application of diversiform periost postauricular composite flaps in mastoid obliteration operations |
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| LU Zhong-hua,RONG Bao-gang,LI Ji-an. Application of diversiform periost postauricular composite flaps in mastoid obliteration operations[J]. Journal of Shandong University:Health Sciences, 2009, 47(7): 107-110 | |
| Authors: | LU Zhong-hua RONG Bao-gang LI Ji-an |
| Affiliation: | 1. Department of Otolaryngology, Yuyao People′s Hospital, Yuyao 315400, Zhejiang, China; 2. Department of Otorhinolaryngology and Head ＆ Neck Surgery, Qilu Hospital of Shandong University, Jinan 250012, China; 3. Department of Otorhinolaryngology and Head ＆ Neck Surgery, Second Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China |
| Abstract: | Objective To explore the effects of diversiform periost postauricular composite flaps in the canal wall down-mastoidectomy.Methods 216 ears with chronic otitis media underwent a canal wall down-mastoidectomy.The cavity of the mastoid process was packed with periost postauricular composite flaps.Results 92.6% of the patients were followed up from 1.5 to 4 years.216 ears(100%) were healed without discharges.126 cases receiving tympanoplasty had improved linguistic frequency auditory threshold of AC,BC and air... |
| Keywords: | Mastoid obliteration operations Canal wall down mastoidectomy Periost postauricular composite flap Cholesteatoma otitis media |
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