耳内镜中耳乳突部手术专家共识

全国耳内镜外科规范化培训推广协作组. 耳内镜中耳乳突部手术专家共识[J]. 临床耳鼻咽喉头颈外科杂志, 2024, 38(2): 98-103. doi: 10.13201/j.issn.2096-7993.2024.02.003
引用本文: 全国耳内镜外科规范化培训推广协作组. 耳内镜中耳乳突部手术专家共识[J]. 临床耳鼻咽喉头颈外科杂志, 2024, 38(2): 98-103. doi: 10.13201/j.issn.2096-7993.2024.02.003
National standardized training and promotion Collaborative Group for Endoscopic Ear Surgery. Specialist consensus on endoscopic surgery of the middle ear mastoid[J]. J Clin Otorhinolaryngol Head Neck Surg, 2024, 38(2): 98-103. doi: 10.13201/j.issn.2096-7993.2024.02.003
Citation: National standardized training and promotion Collaborative Group for Endoscopic Ear Surgery. Specialist consensus on endoscopic surgery of the middle ear mastoid[J]. J Clin Otorhinolaryngol Head Neck Surg, 2024, 38(2): 98-103. doi: 10.13201/j.issn.2096-7993.2024.02.003
(编者按

参与讨论专家(按姓氏汉语拼音排序):

崔勇(广东省人民医院耳鼻咽喉科);陈正侬(上海交通大学医学院附属第六人民医院耳鼻咽喉头颈外科);邓安春(陆军军医大学第二附属医院耳鼻咽喉头颈外科);丁秀勇(首都医科大学宣武医院耳鼻咽喉头颈外科);冯宁宇(银川市第一人民医院耳鼻咽喉科);高伟(空军军医大学唐都医院耳鼻咽喉头颈外科);侯昭晖(中国人民解放军总医院耳鼻咽喉头颈外科医学部);韩朝(复旦大学附属东华医院耳鼻咽喉科);惠莲(中国医科大学附属第一医院耳鼻咽喉科);刘军(河南省人民医院耳鼻咽喉科);刘玉和(首都医科大学附属北京友谊医院耳鼻咽喉科);李阳(西安交通大学第二附属医院耳鼻咽喉头颈外科);廖华(武汉大学人民医院耳鼻咽喉头颈外科);赖彦冰(华中科技大学同济医学院附属同济医院耳鼻咽喉头颈外科);马小洁(山东大学齐鲁医院耳鼻咽喉科);梅凌云(中南大学湘雅医院耳鼻咽喉头颈外科);瞿申红(广西壮族自治区人民医院耳鼻咽喉头颈外科);孙岩(青岛大学附属烟台毓璜顶医院耳鼻咽喉头颈外科);孙宇(华中科技大学同济医学院附属协和医院耳鼻咽喉科);孙家强(中国科学技术大学附属第一医院耳鼻咽喉头颈外科);王方园(中国人民解放军总医院耳鼻咽喉头颈外科医学部);王武庆(复旦大学附属眼耳鼻喉科医院耳鼻咽喉科);王巍(天津市第一中心医院耳鼻咽喉头颈外科);王博琛(佛山市第一人民医院耳医学中心);汪芹(中南大学湘雅二医院耳鼻咽喉头颈外科);汪照炎(上海交通大学医学院附属第九人民医院耳鼻咽喉头颈科);虞幼军(佛山市第一人民医院耳医学中心);袁伟(重庆市人民医院耳鼻咽喉科);伊海金(清华大学附属北京清华长庚医院耳鼻咽喉头颈外科);杨海弟(中山大学孙逸仙纪念医院耳鼻咽喉科);杨荣刚(贵州中医药大学第二附属医院耳鼻咽喉科);杨琼(华中科技大学协和深圳医院耳鼻咽喉科);曾宪海(深圳市耳鼻咽喉研究所深圳市龙岗区耳鼻咽喉医院耳鼻喉科);赵宇(四川大学华西医院耳鼻咽喉头颈外科);张杰(首都医科大学附属北京儿童医院耳鼻咽喉头颈外科);钟时勋(重庆医科大学附属第一医院耳鼻咽喉头颈外科);张文(陕西省人民医院耳鼻咽喉头颈外科);张天虹(哈尔滨医科大学附属第一医院耳鼻咽喉头颈外科);张小安(广东省人民医院赣州医院耳鼻咽喉头颈外科)

执笔人:

赖彦冰   华中科技大学同济医学院附属同济医院耳鼻咽喉头颈外科

王博琛   佛山市第一人民医院耳医学中心

虞幼军   佛山市第一人民医院耳医学中心

侯昭晖   中国人民解放军总医院耳鼻咽喉头颈外科医学部

廖华   武汉大学人民医院耳鼻咽喉头颈外科中心

)

耳内镜中耳乳突部手术专家共识

详细信息

    通信作者:虞幼军,佛山市第一人民医院耳医学中心,广东佛山,528000,E-mail:y200076@163.com; 侯昭晖,中国人民解放军总医院耳鼻咽喉头颈外科医学部,听觉与平衡觉全国重点实验室,国家耳鼻咽喉疾病临床医学研究中心,聋病教育部重点实验室,聋病防治北京市重点实验室,北京,100037,E-mail:houstone301@aliyun.com

  • 中图分类号: R764.9

Specialist consensus on endoscopic surgery of the middle ear mastoid

  • Corresponding author: YU Youjun, Otology Medical Center, the First People's Hospital of Foshan, Foshan, 528000, China, E-mail: y200076@163.com. HOU Zhaohui, Senior Department of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Chinese PLA Medical School; State Key Laboratory of Hearing and Balance Science; National Clinical Research Center for Otolaryngologic Diseases; Key Laboratory of Hearing Science, Ministry of Education; Beijing Key Laboratory of Hearing Impairment Prevention and Treatment, Beijing, 100037, China, E-mail: houstone301@aliyun.com

  • 本文从多角度探讨耳内镜下中耳乳突部手术,首先从病变性质和影像学表现来讨论手术的适应证和禁忌证; 其次推荐适用设备,详细介绍手术方式; 最后从功能和重建的角度总结了中耳乳突部术腔的处理原则。本文旨在通过阐述耳内镜中耳乳突部手术,以期为开展相关手术提供参考或指导意义。
  • 加载中
  • [1]

    Anschuetz L, Siggemann T, Dür C, et al. Teaching Middle Ear Anatomy and Basic Ear Surgery Skills: A Qualitative Study Comparing Endoscopic and Microscopic Techniques[J]. Otolaryngol Head Neck Surg, 2021, 165(1): 174-181. doi: 10.1177/0194599820977191

    [2]

    Han SY, Lee DY, Chung J, et al. Comparison of endoscopic and microscopic ear surgery in pediatric patients: A meta-analysis[J]. Laryngoscope, 2019, 129(6): 1444-1452. doi: 10.1002/lary.27556

    [3]

    Manna S, Kaul VF, Gray ML, et al. Endoscopic Versus Microscopic Middle Ear Surgery: A Meta-analysis of Outcomes Following Tympanoplasty and Stapes Surgery[J]. Otol Neurotol, 2019, 40(8): 983-993. doi: 10.1097/MAO.0000000000002353

    [4]

    Tarabichi, M. Endoscopic middle ear surgery[J]. The Annals of Otology, Rhinology, and Laryngology, 1999, 108(1): 39-46. doi: 10.1177/000348949910800106

    [5]

    Yong M, Mijovic T, Lea J. Endoscopic ear surgery in Canada: a cross-sectional study[J]. J Otolaryngol Head Neck Surg, 2016, 45: 4. doi: 10.1186/s40463-016-0117-7

    [6]

    廖华, 杨希林, 汪雷, 等. 持续灌流模式耳内镜下Ⅰ型鼓室成形术[J]. 听力学及言语疾病杂志, 2019, 27(6): 615-618.

    [7]

    廖华, 虞幼军, 侯昭晖. 持续灌流模式下的耳内镜外科手术[J]. 中华耳科学杂志, 2021, 19(2): 192-197. doi: 10.3969/j.issn.1672-2922.2021.02.002

    [8]

    孔维佳. 耳鼻咽喉头颈外科学[M]. 2版. 北京: 人民卫生出版社, 2010: 8-9.

    [9]

    Friedmann I. The pathology of otitis media[J]. J Clin Pathol, 1956, 9(3): 229-236. doi: 10.1136/jcp.9.3.229

    [10]

    Marchioni D, Alicandri-Ciufelli M, Gioacchini FM, et al. Transcanal endoscopic treatment of benign middle ear neoplasms[J]. Eur Arch Otorhinolaryngol, 2013, 270(12): 2997-3004. doi: 10.1007/s00405-013-2371-x

    [11]

    Pallanch JF, Weiland LH, McDonald TJ, et al. Adenocarcinoma and adenoma of the middle ear[J]. Laryngoscope, 1982, 92(1): 47-54. doi: 10.1288/00005537-198201000-00010

    [12]

    Baráth K, Huber AM, Stämpfli P, et al. Neuroradiology of cholesteatomas[J]. AJNR Am J Neuroradiol, 2011, 32(2): 221-229. doi: 10.3174/ajnr.A2052

    [13]

    Hanafee WN, Mancuso A, Winter J, et al. Edge enhancement computed tomography scanning in inflammatory lesions of the middle ear[J]. Radiology, 1980, 136(3): 771-775. doi: 10.1148/radiology.136.3.7403559

    [14]

    Maroldi R, Farina D, Palvarini L, et al. Computed tomography and magnetic resonance imaging of pathologic conditions of the middle ear[J]. Eur J Radiol, 2001, 40(2): 78-93. doi: 10.1016/S0720-048X(01)00376-X

    [15]

    Martin N, Sterkers O, Nahum H. Chronic inflammatory disease of the middle ear cavities: Gd-DTPA-enhanced MR imaging[J]. Radiology, 1990, 176(2): 399-405. doi: 10.1148/radiology.176.2.2367654

    [16]

    Wang P, Zhang H, Zhao J, et al. External auditory canal and middle ear tumors: characterization by morphology and diffusion features on CT and MRI[J]. Eur Arch Otorhinolaryngol, 2023, 280(2): 605-611. doi: 10.1007/s00405-022-07509-1

    [17]

    Granato L, Silva CJ, Yoo HJ. Isolated congenital cholesteatoma of the mastoid process: a case report[J]. Braz J Otorhinolaryngol, 2012, 78(4): 133. doi: 10.1590/S1808-86942012000400024

    [18]

    MacDonald B, Bommakanti K, Mallo M, et al. Isolated Incudostapedial Cholesteatomas: Unique Radiologic and Surgical Features[J]. Ear Nose Throat J, 2021, 100(3_suppl): 243S-248S. doi: 10.1177/0145561320973785

    [19]

    Nagato T, Otaka R, Wada T, et al. Congenital cholesteatoma isolated to the mastoid presenting as stricture of the external auditory canal[J]. Int J Pediatr Otorhinolaryngol, 2012, 76(5): 754-756. doi: 10.1016/j.ijporl.2012.02.032

    [20]

    Marchioni D, Alicandri-Ciufelli M, Molteni G, et al. Selective epitympanic dysventilation syndrome[J]. Laryngoscope, 2010, 120(5): 1028-1033. doi: 10.1002/lary.20841

    [21]

    Badr-el-Dine M. Value of ear endoscopy in cholesteatoma surgery[J]. Otol Neurotol, 2002, 23(5): 631-635. doi: 10.1097/00129492-200209000-00004

    [22]

    Das A, Mitra S, Ghosh D, et al. Endoscopic Versus Microscopic Management of Attic Cholesteatoma: A Randomized Controlled Trial[J]. Laryngoscope, 2020, 130(10): 2461-2466. doi: 10.1002/lary.28446

    [23]

    Tarabichi M. Endoscopic management of limited attic cholesteatoma[J]. Laryngoscope, 2004, 114(7): 1157-1162. doi: 10.1097/00005537-200407000-00005

    [24]

    赖彦冰, 虞幼军, 侯昭晖, 等. 对耳内镜手术的思考[J]. 中华耳科学杂志, 2017, 15(4): 426-430.

    [25]

    Lailach S, Kemper M, Lasurashvili N, et al. Health-related quality of life measurement after cholesteatoma surgery: comparison of three different surgical techniques[J]. Eur Arch Otorhinolaryngol, 2015, 272(11): 3177-3185. doi: 10.1007/s00405-014-3370-2

    [26]

    Uzun C, Kutoglu T. Assessment of visualization of structures in the middle ear via Tos modified canal wall-up mastoidectomy versus classic canal wall-up and canal wall-down mastoidectomies[J]. Int J Pediatr Otorhinolaryngol, 2007, 71(6): 851-856. doi: 10.1016/j.ijporl.2007.02.004

    [27]

    Isaacson G. Endoscopic anatomy of the pediatric middle ear[J]. Otolaryngol Head Neck Surg, 2014, 150(1): 6-15. doi: 10.1177/0194599813509589

    [28]

    Marchioni D, Villari D, Alicandri-Ciufelli M, et al. Endoscopic open technique in patients with middle ear cholesteatoma[J]. Eur Arch Otorhinolaryngol, 2011, 268(11): 1557-1563. doi: 10.1007/s00405-011-1533-y

    [29]

    陈抗松, 邹团明, 王博琛, 等. 全耳内镜下中耳乳突部胆脂瘤手术的短期效果观察[J]. 中华耳科学杂志, 2021, 19(2): 209-212.

    [30]

    侯昭晖, 李瑞香, 杨仕明. 耳内镜技术在中耳胆脂瘤手术中的应用策略[J]. 中华耳科学杂志, 2017, 15(4): 393-397.

    [31]

    Bottrill ID, Poe DS. Endoscope-assisted ear surgery[J]. Am J Otol, 1995, 16(2): 158-163.

    [32]

    Cömert E, Cömert A. Surgical anatomy of the transcanal infracochlear approach[J]. Eur Arch Otorhinolaryngol, 2022, 279(1): 159-168. doi: 10.1007/s00405-021-06635-6

    [33]

    Gerek M, Satar B, Yazar F, et al. Transcanal anterior approach for cystic lesions of the petrous apex[J]. Otol Neurotol, 2004, 25(6): 973-976. doi: 10.1097/00129492-200411000-00018

    [34]

    Giddings NA, Brackmann DE, Kwartler JA. Transcanal infracochlear approach to the petrous apex[J]. Otolaryngol Head Neck Surg, 1991, 104(1): 29-36. doi: 10.1177/019459989110400107

    [35]

    Güneri EA, Olgun Y. Endoscope-Assisted Cochlear Implantation[J]. Clin Exp Otorhinolaryngol, 2018, 11(2): 89-95. doi: 10.21053/ceo.2017.00927

    [36]

    Hu X, Chen M, Dai W, et al. Efficiency of intraoperative endoscopic inspection in reducing residuals in canal-wall-up surgery for pediatric cholesteatoma involving the mastoid[J]. Eur Arch Otorhinolaryngol, 2023, 280(8): 3593-3600. doi: 10.1007/s00405-023-07857-6

    [37]

    Mattox DE. Endoscopy-assisted surgery of the petrous apex[J]. Otolaryngol Head Neck Surg, 2004, 130(2): 229-241. doi: 10.1016/j.otohns.2003.11.002

    [38]

    Wu N, Zuo W, Wang F, et al. Scutum reconstruction technique and classification in endoscopic middle ear cholesteatoma surgery[J]. Acta Otolaryngol, 2020, 140(11): 904-908. doi: 10.1080/00016489.2020.1791953

    [39]

    赵丹珩, 贾建平, 王方园, 等. 耳内镜下外耳道"锁孔"技术处理累及乳突的中耳胆脂瘤的初步实践[J]. 中华耳科学杂志, 2021, 19(2): 203-208.

    [40]

    Hou Z, Wang F, Zuo W, et al. Application of a novel transcanal keyhole technique in endoscopic cholesteatoma surgery[J]. Acta Otolaryngol, 2021, 141(4): 328-333. doi: 10.1080/00016489.2021.1871777

    [41]

    Marchioni D, Rubini A, Soloperto D. Endoscopic Ear Surgery: Redefining Middle Ear Anatomy and Physiology[J]. Otolaryngol Clin North Am, 2021, 54(1): 25-43. doi: 10.1016/j.otc.2020.09.003

    [42]

    Moneir W, Hemdan A, El-Kholy NA, et al. Endoscopic transcanal attico-antrostomy versus endoscopic-assisted canal wall up mastoidectomy in management of localized cholesteatoma: a randomized clinical trial[J]. Eur Arch Otorhinolaryngol, 2022, 279(9): 4371-4378. doi: 10.1007/s00405-021-07200-x

    [43]

    Glikson E, Feinmesser G, Sagiv D, et al. Trans-canal endoscopic ear surgery and canal wall-up tympano-mastoidectomy for pediatric middle ear cholesteatoma[J]. Eur Arch Otorhinolaryngol, 2019, 276(11): 3021-3026. doi: 10.1007/s00405-019-05588-1

    [44]

    吴南, 汪照炎, 虞幼军, 等. 242例耳内镜下中耳胆脂瘤处理及术后效果分析[J]. 中华耳鼻咽喉头颈外科杂志, 2019, 54(4): 251-256.

    [45]

    Cros O, Borga M, Pauwels E, et al. Micro-channels in the mastoid anatomy. Indications of a separate blood supply of the air cell system mucosa by micro-CT scanning[J]. Hear Res, 2013, 301: 60-65. doi: 10.1016/j.heares.2013.03.002

    [46]

    Kania RE, Herman P, Tran Ba Huy P, et al. Role of nitrogen in transmucosal gas exchange rate in the rat middle ear[J]. J Appl Physiol(1985), 2006, 101(5): 1281-1287. doi: 10.1152/japplphysiol.00113.2006

    [47]

    Ars B, Dirckx J. Eustachian Tube Function[J]. Otolaryngol Clin North Am, 2016, 49(5): 1121-1133. doi: 10.1016/j.otc.2016.05.003

    [48]

    Takahashi H, Honjo I, Naito Y, et al. Gas exchange function through the mastoid mucosa in ears after surgery[J]. Laryngoscope, 1997, 107(8): 1117-1121. doi: 10.1097/00005537-199708000-00020

    [49]

    Sadé J, Ar A. Middle ear and auditory tube: middle ear clearance, gas exchange, and pressure regulation[J]. Otolaryngol Head Neck Surg, 1997, 116(4): 499-524. doi: 10.1016/S0194-59989770302-4

    [50]

    Seibert JW, Danner CJ. Eustachian tube function and the middle ear[J]. Otolaryngol Clin North Am, 2006, 39(6): 1221-1235. doi: 10.1016/j.otc.2006.08.011

    [51]

    Tanabe M, Takahashi H, Honjo I, et al. Gas exchange function of the middle ear in patients with otitis media with effusion[J]. Eur Arch Otorhinolaryngol, 1997, 254(9-10): 453-455. doi: 10.1007/BF02439979

    [52]

    Tarabichi M, Ayache S, Nogueira JF, et al. Endoscopic management of chronic otitis media and tympanoplasty[J]. Otolaryngol Clin North Am, 2013, 46(2): 155-163. doi: 10.1016/j.otc.2012.12.002

    [53]

    McDonald MH, Hoffman MR, Gentry LR, et al. New insights into mechanism of Eustachian tube ventilation based on cine computed tomography images[J]. Eur Arch Otorhinolaryngol, 2012, 269(8): 1901-1907. doi: 10.1007/s00405-011-1829-y

    [54]

    Lee WS, Kim SH, Lee WS, et al. Canal wall reconstruction and mastoid obliteration in canal wall down tympanomastoidectomized patients[J]. Acta Otolaryngol, 2009, 129(9): 955-961. doi: 10.1080/00016480802510178

    [55]

    Liu SC, Wang CH, Huang BR. Obliteration of Radical Cavities and Total Reconstruction Procedure Without Staging After Canal Wall Down Mastoidectomy: Long-term Results[J]. Clin Exp Otorhinolaryngol, 2015, 8(3): 230-236. doi: 10.3342/ceo.2015.8.3.230

    [56]

    Dankuc D, Vlaški L, Pejaković N. Techniques of the Tympanomastoidectomy with Reconstruction of the Posterior Bone Wall of the External Auditory Canal[J]. Srp Arh Celok Lek, 2015, 143(7-8): 480-486. doi: 10.2298/SARH1508480D

    [57]

    Hunter JB, Zuniga MG, Sweeney AD, et al. Pediatric Endoscopic Cholesteatoma Surgery[J]. Otolaryngol Head Neck Surg, 2016, 154(6): 1121-1127. doi: 10.1177/0194599816631941

    [58]

    Jenks CM, Purcell PL, Federici G, et al. Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma: A Multi-institutional Series[J]. Otolaryngol Head Neck Surg, 2022, 167(3): 537-544. doi: 10.1177/01945998211067502

  • 加载中
计量
  • 文章访问数:  935
  • PDF下载数:  463
  • 施引文献:  0
出版历程
收稿日期:  2023-11-27
刊出日期:  2024-02-03

目录