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开放式鼓室成形术或乳突根治术中切除乳突尖的优点
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
作者姓名:黄琦  吴皓  陈向平  曹荣萍  王振涛  李蕴
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;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;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;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;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;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
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。

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:2003-06-13

Partial remove of mastoid tip in open-ended tympanoplasty or mastoidetomy
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, head, and neck surgery, 2004, 18(1): 12-13
Authors:HUANG Qi WU Hao CHEN Xiangping CAO Rongping WANG Zhentao LI Yun
Affiliation:Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Second University, Shanghai, 200092, China.
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.
Keywords:Tympanoplasty  Mastoid tip  
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