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首页> 外文期刊>The Journal of laryngology and otology. >Canal wall down tympanoplasty with canal reconstruction for middle-ear cholesteatoma: post-operative hearing, cholesteatoma recurrence, and status of re-aeration of reconstructed middle-ear cavity.
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Canal wall down tympanoplasty with canal reconstruction for middle-ear cholesteatoma: post-operative hearing, cholesteatoma recurrence, and status of re-aeration of reconstructed middle-ear cavity.

机译：中耳胆脂瘤的管壁向下鼓室成形术及管腔重建术：术后听力，胆脂瘤复发和中耳腔重建的通气状态。

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摘要

The post-operative outcome of hearing, the reconstructed external auditory canal, and the state of the reconstructed middle-ear cavity after canal wall down tympanoplasty with canal and attico-antrum reconstruction was studied in 103 ears with middle-ear cholesteatoma. The reconstructed mastoid cavity was re-aerated in 36.5 per cent of the cases, which was significantly lower than for the epitympanum (63.5 per cent) and tympanic cavity (82.4 per cent). Tympanoplasty was successful in terms of hearing results in 68.9 per cent of all subjects and in 75.4 per cent of the ears having a re-aerated tympanic cavity, which was significantly better than the 38.5 per cent for ears in which the tympanic cavity was not re-aerated. The findings of recurrent cholesteatoma, tympanic atelectasis, and tympanic effusion were observed with significantly (p<0.03) high incidence in ears with no re-aerated space in their reconstructed mastoid cavities. It was revealed that the post-operative outcome of this surgical technique was significantly related to the state of re-aeration of the reconstructed middle-ear cavity.
机译：在103只中耳胆脂瘤患者的耳中，研究了耳道的重建，外耳道的重建以及中耳壁下鼓腔成形术后再行根管和顶突重建的状态。重建的乳突腔再通气的率为36.5％，这明显低于上鼓膜（63.5％）和鼓膜腔（82.4％）。就所有受试者的68.9％的听力结果而言，鼓室成形术是成功的，鼓膜腔再通气的耳朵为75.4％，这比鼓膜腔未再鼓入的耳朵的38.5％明显好-充气。观察到复发性胆脂瘤，鼓膜肺不张和鼓室积液的发现在耳朵中有显着（p <0.03）的高发生率，并且在其重建的乳突腔中没有重新充气的空间。结果表明，该手术技术的术后效果与重建的中耳腔通气状态显着相关。

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