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首页> 外文期刊>Brazilian Journal of Otorhinolaryngology >Effects of cavity reconstruction on morbidity and quality of life after canal wall down tympanomastoidectomy ☆
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Effects of cavity reconstruction on morbidity and quality of life after canal wall down tympanomastoidectomy ☆

机译：腔壁重建对腔壁下鼓室乳突切除术后发病率和生活质量的影响☆

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Introduction: Canal wall down tympanomastoidectomy is commonly used to treat advanced chronic otitis media or cholesteatoma. The advantages of canal wall down mastoidectomy are excellent exposure for disease eradication and postoperative control of residual disease; its disadvantages include the accumulation of debris requiring life-long otological maintenance and cleaning, continuous ear drainage, fungal cavity infections, and the occurrence of dizziness and vertigo by changing temperature or pressure. Objective: To evaluate whether cavity-induced problems can be eliminated and patient comfort can be increased with mastoid cavity reconstruction. Methods: In total, 11 patients who underwent mastoid cavity reconstruction between March 2013 and June 2013 comprised the study group, and 11 patients who had dry, epithelialized CWD cavities were recruited as the control group. The study examined three parameters: epithelial migration, air caloric testing, and the Glasgow Benefit Inventory. Epithelial migration, air caloric testing, and the Glasgow Benefit Inventory were evaluated in the study and control groups. Results: The epithelial migration rate was significantly faster in study group (1.63 ± 0.5 mm/week) than control group (0.94 ± 0.37 mm/week) ( p = 0.003, p 0.05). The mean slow component velocity of nystagmus of the study group (13.33 ± 5.36°/s) was significantly lower when compared to control group (32.11 ± 9.12°/s) ( p = 0.018). The overall the Glasgow Benefit Inventory score was ?7.21, and the general subscale, physical and social health scores were ?9.71, ?21.09, and +20.35, respectively in the control group. These were +33.93, +35.59, +33.31, and +29.61, respectively in the study group. All but the social health score improved significantly (0.007, 0.008, 0.018, and 0.181, respectively). Conclusions: Cavity reconstruction improves epithelial migration, normalizes caloric responses and increases the quality of life. Thus, cavity rehabilitation eliminates open-cavity-induced problems by restoring the functional anatomy of the ear.
机译：简介：幕墙下鼓室乳突切除术通常用于治疗晚期慢性中耳炎或胆脂瘤。乳突根管下壁切开术的优点是可以很好地根除疾病，并在术后控制残留疾病;它的缺点包括需要终生耳科维护和清洁的碎屑堆积，持续的耳部引流，真菌腔感染以及由于温度或压力变化而出现头晕和眩晕。目的：评估乳突腔重建能否消除因腔引起的问题并提高患者的舒适度。方法：2013年3月至2013年6月，共11例接受乳突腔重建的患者组成研究组，并选择11例干，上皮的CWD腔患者作为对照组。这项研究检查了三个参数：上皮迁移，空气热量测试和格拉斯哥福利清单。在研究组和对照组中评估了上皮迁移，空气热量测试和格拉斯哥福利清单。结果：研究组（1.63±0.5 mm /周）的上皮迁移速度明显快于对照组（0.94±0.37 mm /周）（p = 0.003，p <0.05）。与对照组（32.11±9.12°/ s）相比，研究组眼球震颤的平均慢速速度（13.33±5.36°/ s）明显更低（p = 0.018）。对照组的总格拉斯哥福利清单得分为？7.21，总体分量表，身体和社会健康得分分别为？9.71，？21.09和+20.35。在研究组中，它们分别为+ 33.93，+ 35.59，+ 33.31和+29.61。除社会健康评分外，其他所有评分均显着改善（分别为0.007、0.008、0.018和0.181）。结论：腔体重建可改善上皮迁移，使热量反应正常化并提高生活质量。因此，腔体修复通过恢复耳朵的功能解剖结构消除了开放腔引起的问题。

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