自体皮质骨上鼓室重建及骨粉填塞乳突腔在乳突切除鼓室成形术中的应用

蔡爱军; 习国平; 张社江; 马喆; 吴琼芳

doi:10.13201/j.issn.1001-1781.2013.11.015

自体皮质骨上鼓室重建及骨粉填塞乳突腔在乳突切除鼓室成形术中的应用

- 河北省邯郸市第三医院(眼科医院)耳鼻咽喉科(河北邯郸, 056001)

详细信息

通讯作者: 习国平,E-mail:xgpzl@yahoo.com.cn

中图分类号: R764.21

收稿日期: 2012-12-14

Application of autogenous bone pate for atticus reconstruction and mastoid cavity obliteration in tympanoplasty with mastoidectomy

- Department of Otorinolaryngology, the Third Hospital(Eye Hospital), Handan, 056001, China

More Information

Corresponding author: XI GuoPing, E-mail: xgpzl@yahoo.com.cn

Received Date: 14 December 2012

摘要

摘要: 目的:观察在改良乳突根治术并鼓室成形术中,应用自体皮质骨行上鼓室外侧壁重建及骨粉填塞乳突腔对胆脂瘤伴中耳炎治疗的临床疗效。方法:将60例(60耳)胆脂瘤伴中耳炎患者随机分为实验组和对照组,对照组仅行改良乳突根治术并鼓室成形术,实验组在行改良乳突根治术并鼓室成形术基础上应用自体乳突皮质骨行上鼓室外侧壁重建,术后随访0.5~2年,回顾性观察2组患者在干耳时间、听力提高等方面的恢复情况,进行疗效对比分析。结果:2组患者在鼓膜状态、干耳时间、听力提高等方面差异有统计学意义(P＜0.05)。结论:在改良乳突根治术并鼓室成形术的基础上,重建上鼓室外侧壁,可以保证听骨链的正常活动空间,术后听力改善疗效满意,缩短了干耳时间,减少手术并发症。
- 胆脂瘤,中耳 /
- 自体皮质骨 /
- 上鼓室外侧壁重建 /
- 鼓室成形术
Abstract: Objective: To observe the curative effect of autogenous bone pate for atticus reconstitution and mastoid cavity obliteartion in canal wall down mastoidectomy with tympanoplasty.Method: The 60 patients(60 ears) of cholesteatomatous tympanitis were randomly divided into 2 groups. The experimental group underwent canal wall down mastoidectomy with tympanoplasty and using autogenous bone pate for atticus reconstitution and mastoid cavity obliteration. The control group only underwent canal wall down mastoiddectomy with tympanoplasty.All patients were followed up for 0.5-2 years. Improvement of hearing and dry ear time in these two groups was retrospectively observed.Results: There are significant difference between two groups in improvement of hearing and dry ear time, according to follow-up and analysis of therapeutic efficacy(P＜0.05).Conclusion: Hearing can be improved, dry ear time can be shorten and correlative complication can be decreased by atticus reconstruction and mastoid cavity obliteration with autogenous bone pate in canal wall down mastoidectomy with tympanoplasty,which guarantees the normal activity space of auditory bone chain.
- cholesteatoma /
- middle ear /
- autogenous bone pate /
- reconstruction of atticus

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参考文献(7)

[1]	HATANO M,ITO M,YOSHIZAKI T. Retrograde mastoidectomy on demand with soft-wall reconstruction in pediatric cholesteatoma[J]. Acta Otolaryngol,2010,130:1113-1118.
[2]	GEHRKING E. Osteoplastic atticoantrotomy with autologous bone chips and a bony attic strut in cholesteatoma surgery[J]. Eur Arch Otorhinolaryngol,2010,267,1055-1066.
[3]	LEE W S,KIM S H,LEE W S,et al. Canal wall reconstruction and mastoid obliteration in canal wall down tympanomastoidectomized patients[J]. Acta Otolaryngol,2009,129:955-961.
[4]	栾建刚,张庆泉,张杰,等.Ⅲ型鼓室成形术在开放式乳突根治术中的应用[J].中华耳科学杂志,2003,1(3):41-42.
[5]	MERCHANT S N,MCKENNA M J,ROSOWSKI J J.Current status and future challenges of tympanoplasty[J].Eur Arch Otorhinolaryngol,1998,255:221-228.
[6]	佘万东,曹咏梅,张倩,等. 上鼓室重建及鼓室成形术在开放式乳突根治术中的应用[J]. 中国耳鼻咽喉颅底外科杂志,2003,9(5):30-31.
[7]	YU Z,YANG B,WANG Z,et al. Reconstruction of lateral attic wall using autogenous mastoid cortical bone[J]. Am J Otolaryngol,2011,32:361-365.