外耳道狭窄或闭锁的手术治疗

彭本刚; 苗旭涛; 高运军; 王欣; 李文军

doi:10.13201/j.issn.1001-1781.2014.07.014

外耳道狭窄或闭锁的手术治疗

- 北京积水潭医院耳鼻咽喉科(北京, 100035)

详细信息

通讯作者: 彭本刚, E-mail:pengbg@hotmail.com

中图分类号: R764.71

收稿日期: 2013-10-28

Canalplasty for stenosis or atresia of the external auditory canal

- Department of Otolaryngology, Beijing Ji Shui Tan Hospital, Beijing, 100035, China

More Information

Corresponding author: PENG Bengang, E-mail: pengbg@hotmail.com

Received Date: 28 October 2013

摘要

摘要: 目的:探讨外耳道狭窄手术治疗的经验及体会。方法:回顾性分析我科10例外耳道狭窄或闭锁患者的临床资料,其中单纯骨部狭窄1例、软骨部病变3例、软骨部+骨部病变2例、外耳道及中耳病变4例。本组6例患者采用耳道内切口入路或(和)耳后切口入路去除狭窄性病变,扩大外耳道腔;4例合并慢性中耳炎患者则同时行鼓室成形术。结果:所有患者随访8~50个月,8例患者恢复良好,2例患者再次出现外耳道狭窄或闭锁。结论:外耳道成形术要选择合适的手术入路,彻底清除狭窄性病变。
- 外耳道狭窄 /
- 外耳道闭锁 /
- 外耳道成形
Abstract: Objective:To report the experience of canalplasty in treatment of stenosis or atresia of the external auditory canal. Method:A retrospective review was performed on 10 patients (10 ears) that underwent canalplasty. The lesions located in bony segment in 1 case, cartilaginous segment in 3 cases, both in cartilaginous and bony segments in 6 cases, in which 4 cases accompanied with the middle ear diseases. All patients received the canalplasty surgery, and tympanoplasty was applied simultaneously if the patient had otitis media. Result:Follow-up was conducted for 8-50 months respectively, 8 of the external auditory canal was wide and tympanic membrane gained a good shape, 2 case had stenosis or atresia reoccurrence after the operation. Conclusion:Appropriate approach and elimination of the lesions thoroughly are key points for the canalplasty.
- stenosis of the external auditory canal /
- atresia of the external auditory canal /
- canalplasty

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