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上鼓室凿开与乳突根治的术中、术后听力重建

Restoration of the Conductive Hearing Mechanism during and after Attic Operation or Radical Mastoidectomy

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【作者】 卫丹魏能润

【Author】 Wei Dan, Wei NengrunDepartment of Otolaryngology, 1st Teaching Hospital, Wuhan Medical College, Wuhan

【机构】 武汉医学院第一附属医院耳鼻咽喉科武汉医学院第一附属医院耳鼻咽喉科

【摘要】 <正> 近几年来,作者在胆脂瘤型中耳炎的乳突手术中,对22例上鼓室凿开与乳突根治进行了术中、术后听力重建。这是在彻底清除病灶的基础上进行的。22例均用自体颞筋膜、听骨、乳突皮质碎骨、同种异体颞筋膜、听骨、乳突皮质碎骨、鼻中隔软骨等行中耳结构再造。现报告如下:

【Abstract】 On the basis of clearing up diseased tissues as thoroughly as possible, reconstruction of the tympano-ossicular system was carried out in 22 cases during and after attic operation or radical mastoidectomy, the aim of which consisted chiefly in preserving the "bridge" or reconstructing a "bridge". In addition, reconstruction of the lateral attic wall, the mucous membrane of the tympanic cavity and ossicular chain was also indicated in some cases. As for reconstructing a new ear drum, the authors have had the skin graft elevated from the inner wall of the tympanic cavity or the temporal fascia. In 17 of the 22 cases so treated, the hearing ability improved significantly.

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