振动声桥在先天性耳畸形耳道再闭锁患者中的应用

赵守琴; 龚树生; 韩德民; 陈树斌; 李轶; 马晓波; 刘海红

doi:10.13201/j.issn.1001-1781.2012.10.003

振动声桥在先天性耳畸形耳道再闭锁患者中的应用

- 1 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)(北京, 100730);
- 2 北京市耳鼻咽喉科研究所耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)

详细信息

通讯作者: 赵守琴,E-mail:zhao_sq@yahoo.com.cn

中图分类号: R764.43

收稿日期: 2012-02-20

The application of vibrant sound bridge in microtia whose reconstructive external auditory canal occurred atresia

- 1 Department of Otolaryngology-Head and Neck Surgery, Affiliated Beijing Tongren Hospital of Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery, Beijing, 100730, China;
- 2 Beijing Otolaryngology Institute, Key Laboratory of Otolaryngology Head and Neck Surgery

More Information

Corresponding author: ZHAO Shouqin, E-mail: zhao_sq@yahoo.com.cn

Received Date: 20 February 2012

摘要

摘要: 目的:探讨外耳道再闭锁患者振动声桥植入效果。方法:曾行外耳道成形和鼓室成形术的耳畸形患者3例,其中男2例,女1例;年龄15~18岁,平均17岁。3例患者均为传导性聋,骨气导差51.6~65.0 dB HL,平均为56.3 dB HL。3例均行振动声桥植入,手术方式为:镫骨振动成形术2例,圆窗振动成形术1例。结果:3例患者术后听力改善21.6~52.5 dB HL,平均32.2 dB HL。无眩晕、耳鸣及面瘫等并发症发生。结论:外耳道成形和鼓室成形术后再闭锁的耳畸形患者,振动声桥植入后听力改善效果明显。
- 外耳道闭锁, 先天性 /
- 聋,传导性 /
- 中耳植入
Abstract: Objective: To investigate the effect of vibrant sound bridge implantation in microtia whose reconstructive external auditory canal occurred atresia.Method: Three cases(2 males and 1 female) of microtia had underwent hearing reconstruction operation(Include the external ear canal reconstructive surgery and tympanoplasty).The age ranged from 15 to 18 years and the average age was 17 years. All the 3 cases suffered from conductive hearing loss with the air-bone gap ranging from 51.6 to 65.0 dB HL and the average value being 56.3 dB HL. All the 3 cases underwent vibrant sound bridge implantation, including the floating mass transducer implanted in the head of stapes in 2 cases and in the niche of round window in 1 case.Result: The postoperative hearing level improved from 21.6 to 52.5 dB HL with an average of 32.2 dB HL. There were no complications such as vertigo, tinnitus and facial paralysis.Conclusion: Through vibrant sound bridge implantation, the hearing level of microtia whose reconstructive external auditory canal occurred atresia was improved effectively.
- aural atresia, congenital /
- hearing loss,conductive /
- middle ear implant

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