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翼钩凿断和板间切开对中耳功能的影响
引用本文:何勇,徐慧芬,郑谦,王涛.翼钩凿断和板间切开对中耳功能的影响[J].华西口腔医学杂志,2001,19(4):246-248.
作者姓名:何勇  徐慧芬  郑谦  王涛
作者单位:610041 四川大学华西口腔医学院(何 勇现在西安武警工程学院武警医院口腔科)
基金项目:王泽民唇腭裂科研基金资助项目
摘    要:目的:了解翼钩凿断和板间切开对中耳功能的影响。方法:对20只新西兰大耳白兔行翼钩凿断和板间切开后,观察腭腱膜及中耳腔粘膜的变化,以明确手术对中耳功能的影响。结果:翼钩组均出现腭帆张肌松弛,中耳腔粘膜杯状细胞明显增多;板间切开组无1例出现上述变化。结论:翼钩凿断不利于咽鼓管的开张,而板间切开影响较小,因而主张腭裂手术时应尽量不凿断翼钩以保持其解剖位置和功能。

关 键 词:腭裂  翼钩  腭裂整复术  板间切开  中耳功能  
收稿时间:2001-08-25
修稿时间:2000年9月14日

The Influence of the Hamulotome and Interplatal Incision on the Middle Ear Function
He Yong,Xu Huifeng,Zhen Qian,et alThe College of Stomatology,West China University of Medical Sciences.The Influence of the Hamulotome and Interplatal Incision on the Middle Ear Function[J].West China Journal of Stomatology,2001,19(4):246-248.
Authors:He Yong  Xu Huifeng  Zhen Qian  The College of Stomatology  West China University of Medical Sciences
Institution:The College of Stomatology, West China University of Medical Sciences
Abstract:Objective:The aim of this study is to explore the effect of hamulotome on the eustachian tube function and verify the function of the tensor veli palatili muscle on eustachian tube. Methods: Single_sided hamulotome were carried out in the rabbits under the direct visual. And the middle ear cavity mucosa of the rabbits was collected at different intervals and dyed with PAS and PH to observe the middle ear changes under microscope. Results: Middle ear function changed obviously after the hamulotome, with increase in globular cells, submucosal edema and inflammatory cells. And mucin was not found in several cavities. Conclusion:Hamulotome do affect on the middle ear function and should not be damaged in order to protect the middle ear function in some patients.
Keywords:cleft palate  hamulotome  middle ear function
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