开放式乳突切开+鼓室成形术中乳突填塞材料的应用进展

开放式乳突切开+鼓室成形术是一种治疗中耳胆脂瘤和慢性化脓性中耳炎等疾病的有效外科手术技术,旨在彻底清除病灶,从而达到干耳、促进病灶引流、避免颅内外并发症发生的目的。但手术遗留的大乳突空腔可能导致术耳反复流脓、术后需定期清理痂皮、与温度变化有关的前庭功能紊乱、继发术腔感染和隐形助听器佩戴不方便等问题,严重影响患者的生活质量。因此,乳突缩窄术对提高开放式乳突切开+鼓室成形术后疗效是非常重要的。随着医学技术的进步和材料科学的不断发展,越来越多的材料被临床医生应用到乳突缩窄术的临床实践当中,但各种材料的取材方式、组织量、是否容易存活和吸收等特点各不相同,各有优缺点。因此,论文就乳突缩窄术在开放式乳突切开+鼓室成形术中的应用及乳突填塞材料的选择进行综述。

The advances in application of mastoid obliteration materials in mastoidectomy canal wall down with tympanoplasty

Mastoidectomy canal wall down with tympanoplasty is an effectively surgical technique for the treatment of diseases such as middle ear cholesteatoma and chronic suppurative otitis media. It aims to completely remove the lesions, so as to achieve dry ears, promote drainage of the lesions and avoid intracranial and external complications. However, the large mastoid cavity left by the operation may cause repeated purulence of the surgical ear, regular scab removal after the operation, vestibular dysfunction related to temperature changes, infection of the surgical cavity and inconvenient wearing of invisible hearing aids, which all seriously affect the patients' quality of life. Therefore, mastoid reduction surgery is very important to improve the treatment effect of mastoidectomy canal wall down with tympanoplasty. With the advancement of medical technology and the continuous development of materials science, more and more materials are used in the clinical practice of mastoid reduction surgery by clinicians, but the way of taking various obliteration materials, the amount of tissue, whether it is easy to survive and absorb and other characteristics are different, each has advantages and disadvantages. Therefore, this article will review the application of mastoid reduction surgery in mastoidectomy canal wall down with tympanoplasty and the selection of mastoid obliteration materials.