| 开放式鼓室成形术或乳突根治术中切除乳突尖的优点 |
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| 引用本文： | 黄琦,吴皓,陈向平,曹荣萍,王振涛,李蕴.开放式鼓室成形术或乳突根治术中切除乳突尖的优点[J].临床耳鼻咽喉头颈外科杂志,2004,18(1):12-13. |
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| 作者姓名： | 黄琦 吴皓 陈向平 曹荣萍 王振涛 李蕴 |
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| 作者单位： | 上海第二医科大学附属新华医院耳鼻咽喉-头颈外科,上海,200092 |
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| 摘 要： | 目的：总结乳突尖部分切除在开放式鼓室成形术或乳突根治术中的作用。方法：44例胆脂瘤型中耳炎患者中，行单纯乳突根治术(10例)和开放式鼓室成形术(34例，含乳突切除术加鼓室成形术Ⅱ型或Ⅲ型)时．同时切除部分乳突尖外侧壁。结果：切除乳突尖后，乳突容积明显减小，术后3个月随访，干耳43例，占97．6％。干耳时间3周～2．5个月。术后1年随访，无一例胆脂瘤复发。结论：乳突尖部分切除在开放式鼓室成形术或乳突根治术中消灭乳突死腔，最大程度达到干耳，减少胆脂瘤复发，具有重要作用。
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| 关 键 词： | 鼓室成形术 乳突尖 |
| 文章编号： | 1001-1781(2004)01-0012-02 |
| 修稿时间： | 2003年6月13日 |
Partial remove of mastoid tip in open-ended tympanoplasty or mastoidetomy |
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| HUANG Qi,WU Hao,CHEN Xiangping,CAO Rongping,WANG Zhentao,LI Yun.Partial remove of mastoid tip in open-ended tympanoplasty or mastoidetomy[J].Journal of Clinical Otorhinolaryngology,2004,18(1):12-13. |
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| Authors: | HUANG Qi WU Hao CHEN Xiangping CAO Rongping WANG Zhentao LI Yun |
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| Institution: | Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Second University, Shanghai, 200092, China. |
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| Abstract: | Objective:To summarize the effect of partial remove of mastoid tip in open-ended tympanoplasty or simple redical mastoidectomy.Method:Ten cases of cholesteatoma otitis media were treated with simple redical mastoidectomy. Thirty-four cases were treated with open-ended tympanoplasty. The mastoid tip were partial removed in all cases.Result:The volume of mastoid cavity became small after operation.The follow up time was 3 months.The dry ear rate was 97.6%(43 cases).After 1 year's follow up there wasn't recurrence of cholesteatoma.Conclusion:The technique of partial remove of mastoid tip effective in open-ended tympanoplasty or simple redical mastoidectomy. We believe that in order to destry death cavity,shorten dry ear time and decrease recurrence it is very necessary. |
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| Keywords: | Tympanoplasty Mastoid tip |
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