钛质听骨在完壁式鼓室成形中的应用

仇弋戈; 何蓉; 陈永国; 麻宁; 郭欣

doi:10.13201/j.issn.1001-1781.2012.22.010

钛质听骨在完壁式鼓室成形中的应用

- 攀枝花市中心医院耳鼻咽喉头颈外科(四川攀枝花, 617067)
基金项目:
四川省卫生厅资助项目(No:110642)

详细信息

通讯作者: 何蓉,E-mail:qyq99@sina.com

中图分类号: R764.21

收稿日期: 2012-05-04

Clinical application of titanium ossicular prostheses in intact canal wall tympanoplasty with mastoidectomy

- Department of OtoIaryngology-Head and Neck Surgery, Panzhihua Central Hospital, Panzhihua, 617067, China

More Information

Corresponding author: HE Rong, E-mail: qyq99@sina.com

Received Date: 04 May 2012

摘要

摘要: 目的:评价钛质听小骨假体在完壁式乳突根治鼓室成形术(ICWT)后的疗效。方法:对31例使用钛质听小骨假体进行ICWT的患者进行评估,按听骨类型分为部分听骨赝复物(PORP)组和全听骨赝复物(TORP)组,对2组患者术后1年的听力情况和并发症发生率进行分析。结果:手术总有效率为(气骨导差≤20 dB)87.1%,术后平均增益PROP组为(19.38±10.08)dB,TORP组为(15.15±10.15)dB;术后气骨导差PROP组为(12.29±4.40)dB,TORP组为(15.48±6.26)dB;2组术后气骨导差及气导增益表现均差异无统计学意义,但在低频区(0.5 kHz)气骨导差存在统计学差异;未见听骨排出发生。结论:钛质听小骨在ICWT能够取得满意的听力结果,成功率高于其他综合文献的报告。但2种类型听骨比较差异无统计学意义,术后并发症发生率低,有待长期的随访。
- 听骨链重建 /
- 胆脂瘤中耳炎 /
- 钛
Abstract: Objective: To evaluate the effects of intact canal wall tympanoplasty with mastoidectomy(ICWT)with titanium ossicular prostheses. Method: A retrospective review was performed on 31 patients who underwent ICWT from 2008 to 2011. Patients' postoperative hearing results and complication rates were evaluated based on different types of ossicular prosthesis:partial ossicular replacement prosthesis(PORP), total ossicular replacement prosthesis(TORP). Result: The total effectiveness was 87. 1%. No prosthesis was extruded. There was no significant difference in postoperative hearing results(average postoperative gain and ABG) between the two prostheses. In the low frequency(0. 5 kHz), singnificant difference in ABG was found. Conclusion: No significant difference in postoperative hearing results was found between PORP and TORP, which could be useful materials for tympanoplasty and obviously improve the hearing of otitis media patients after operation. As for the low incidence of postoperative complications in our short-term study, long-term follow-up visit is necessary.
- ossicular reconstruction /
- cholesteatomatous otitis media /
- titanium

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参考文献(12)

[1]	STUPP C H,STUPP H F,GRUN D.Replacementof ear ossicles with titanium prostheses[J].Laryngo-rhinootologie,1996,75:335-337.
[2]	NEFF B A,RIZER F M,SCHURING A G,et al.Tympano-ossiculoplasty utilizing the spiggle and theistitanium total ossicular replacement prosthesis[J].Laryngoscope,2003,113:1525-1529.
[3]	MARTIN A D,HARNER S G.Ossicular recon-struction with titanium prosthesis[J].Laryngoscope,2004,114:61-64.
[4]	SCHMERBER S,TROUSSIER J,DUMAS G,etal.Hearing results with the titanium ossicular re-placement prostheses[J].Eur Arch Otorhinolaryn-gol,2006,263:347-354.
[5]	张官萍,巫爱霞,李永奇,等.生物陶瓷及钛金属人工听骨在鼓室成形术中的短期临床疗效分析[J].中华耳科学杂志,2007,5(2),136-140.
[6]	GARDNER E K,JACKSON C G,KAYLIE D M.Results with titanium ossicular reconstruction pros-theses[J].Laryngoscope,2004,114:65-70.
[7]	郑雅丽,龚树生,于子龙,等.比较不同材料人工听骨听力重建术[J].中国耳鼻咽喉头颈外科,2010,17(6),291-293.
[8]	黄选兆,汪吉宝.实用耳鼻咽喉科学[M].北京:人民卫生出版社,2007:3-5.
[9]	MARDASSI A,DEVEZE A,SANJUAN M,et al.Titanium ossicular chain replacement prostheses:prognostic factors and preliminary functional results.[J].Eur Ann Otorhinolaryngol Head Neck Dis,2011,128:53-58.
[10]	MARTINS J,SILVA H,CERTAL V,et al.[Os-siculoplasty with titanium prosthesis[J].Acta Otor-rinolaringol Esp,2011,62:295-299.
[11]	QUARANTA N,ZIZZI S,QUARANTA A.Hear-ing results using titanium ossicular replacement pros-thesis in intact canal wall tympanoplasty for chol-esteatoma[J].Acta Otolaryngol,2011,131:36-40.
[12]	YUNG M W.The use of middle ear endoscopy:hasresidual cholesteatoma been eliminated[J]?J Laryn-gol Otol,2001,115:958-961.