目的探讨自体听骨用于听骨链重建术的临床疗效。方法回顾性分析58例(60耳)应用自体听骨行听骨链重建术患者的临床资料,术后随访时间3-18个月,平均11.6个月,分析言语频率的纯音听阈及气骨导差。结果术后无一例自体听骨脱出,3例移位,无鼓...目的探讨自体听骨用于听骨链重建术的临床疗效。方法回顾性分析58例(60耳)应用自体听骨行听骨链重建术患者的临床资料,术后随访时间3-18个月,平均11.6个月,分析言语频率的纯音听阈及气骨导差。结果术后无一例自体听骨脱出,3例移位,无鼓膜再穿孔、内陷,所有患者术后均干耳。平均纯音听力气导由术前54.7±6.4 d B提高到术后39.0±9.1d B,骨导由术前28.3±4.6 d B提高到22.2±4.2d B,PTA-ABG由术前26.4±7.9 d B缩小到16.8±8.2 d B,手术成功率(术后PTA-ABG≤20d B)为71.7%(43/60)。结论自体听骨取材方便、费用低、组织相容性好,塑形后用于听骨链重建可取得良好的听力效果,是听骨链重建术的理想材料。展开更多
Objective:The purpose of this study is to evaluate our experience with endoscopic repair of ossicular discontinuity at the incudostapedial joint,with or without an intact stapes suprastructure,and present our hearing ...Objective:The purpose of this study is to evaluate our experience with endoscopic repair of ossicular discontinuity at the incudostapedial joint,with or without an intact stapes suprastructure,and present our hearing results.We classify results based on the causative pathology,the type of ossiculoplasty,and type of Lesion.We demonstrate the ability to endoscopically place a total ossicular replacement prosthesis (TORP),measuring 4.25 mm,between the stapes footplate and the incus remnant to reestablish ossicular continuity.Methods:This was a retrospective case series conducted in tertiary referral center (Hopital de la Timone) Marseille,France.25 patients underwent incudostapedial rebridging ossiculoplasty between 2009 and 2013.Fifteen cases of chronic otitis media and 10 otosclerosis revisions were included in the study.Three different materials were used in ossiculoplasty,hydroxyapatite cement,incus remnant,and partial/total ossicular replacement prostheses.Audiometric results were evaluated before and after ossiculoplasty.Twelve month follow-up data is provided.Results:The mean postoperative air-bone gap was 15 dB (5-25 dB).Hearing results were better inotosclerosis revisions.Hydroxyapatite cement produced an air-bone gap of 5 dB,TORP placed under the incus produced a 12 dB gap,and TORP placed under the malleus resulted in a 12 dB gap and one deaf ear.In cases of chronic otitis media,the residual air-bone gap was 17 dB with PORP,12 dB with TORP,and 20 dB with incus transposition.Conclusion:The hydroxyapatite cement is effective in the reconstruction of ossicular discontinuity but the high price limits its utilization.TORP placed under the incus is a reliable and stable method of ossicular reconstruction that is cost effective and offers satisfactory hearing results in selected patients.展开更多
The purpose of this paper is to review some of the promising technological developments related to hearing restoration part of ENT practice. If success-fully implemented in product or procedure form, these technologie...The purpose of this paper is to review some of the promising technological developments related to hearing restoration part of ENT practice. If success-fully implemented in product or procedure form, these technologies are likely to simplify surgical pro-cedures related to hearing restoration and improve the condition of patients. The developments are com-piled from scientific sources as well as from recent patent documents and they are not yet commercially available.展开更多
文摘目的探讨自体听骨用于听骨链重建术的临床疗效。方法回顾性分析58例(60耳)应用自体听骨行听骨链重建术患者的临床资料,术后随访时间3-18个月,平均11.6个月,分析言语频率的纯音听阈及气骨导差。结果术后无一例自体听骨脱出,3例移位,无鼓膜再穿孔、内陷,所有患者术后均干耳。平均纯音听力气导由术前54.7±6.4 d B提高到术后39.0±9.1d B,骨导由术前28.3±4.6 d B提高到22.2±4.2d B,PTA-ABG由术前26.4±7.9 d B缩小到16.8±8.2 d B,手术成功率(术后PTA-ABG≤20d B)为71.7%(43/60)。结论自体听骨取材方便、费用低、组织相容性好,塑形后用于听骨链重建可取得良好的听力效果,是听骨链重建术的理想材料。
文摘Objective:The purpose of this study is to evaluate our experience with endoscopic repair of ossicular discontinuity at the incudostapedial joint,with or without an intact stapes suprastructure,and present our hearing results.We classify results based on the causative pathology,the type of ossiculoplasty,and type of Lesion.We demonstrate the ability to endoscopically place a total ossicular replacement prosthesis (TORP),measuring 4.25 mm,between the stapes footplate and the incus remnant to reestablish ossicular continuity.Methods:This was a retrospective case series conducted in tertiary referral center (Hopital de la Timone) Marseille,France.25 patients underwent incudostapedial rebridging ossiculoplasty between 2009 and 2013.Fifteen cases of chronic otitis media and 10 otosclerosis revisions were included in the study.Three different materials were used in ossiculoplasty,hydroxyapatite cement,incus remnant,and partial/total ossicular replacement prostheses.Audiometric results were evaluated before and after ossiculoplasty.Twelve month follow-up data is provided.Results:The mean postoperative air-bone gap was 15 dB (5-25 dB).Hearing results were better inotosclerosis revisions.Hydroxyapatite cement produced an air-bone gap of 5 dB,TORP placed under the incus produced a 12 dB gap,and TORP placed under the malleus resulted in a 12 dB gap and one deaf ear.In cases of chronic otitis media,the residual air-bone gap was 17 dB with PORP,12 dB with TORP,and 20 dB with incus transposition.Conclusion:The hydroxyapatite cement is effective in the reconstruction of ossicular discontinuity but the high price limits its utilization.TORP placed under the incus is a reliable and stable method of ossicular reconstruction that is cost effective and offers satisfactory hearing results in selected patients.
文摘The purpose of this paper is to review some of the promising technological developments related to hearing restoration part of ENT practice. If success-fully implemented in product or procedure form, these technologies are likely to simplify surgical pro-cedures related to hearing restoration and improve the condition of patients. The developments are com-piled from scientific sources as well as from recent patent documents and they are not yet commercially available.
