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The sandwich cartilage shoe technique for ossicular reconstruction in a case of an unsecure stapes footplate.

机译:在不安全的骨足板情况下,用于听骨重建的三明治软骨鞋技术。

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摘要

This article describes a new surgical method for total ossicular reconstruction in a case of a broken stapes footplate. We developed the technique of the cartilage shoe sandwich, closure of the oval window is achieved by a cartilage shoe without a central perforation. During this surgical intervention, the prearrangement of a secure placement of a total ossicular replacement prosthesis is provided by a second cartilage with a central hole that is plugged with silicone. In a staged procedure, the silicone plug is removed and the ossicular reconstruction can be performed. The audiological results of the first patients show a stable inner ear function with an air-conduction gain of 9 dB. The technique described herein has proven to be safe and reliable in total ossicular reconstruction in the event of an unsecure stapes footplate.
机译:本文介绍了一种新的外科手术方法,用于在骨足钉骨折的情况下进行全听骨重建。我们开发了软骨夹层板的技术,椭圆形窗口的关闭是通过没有中央穿孔的软骨夹层实现的。在该外科手术过程中,总的听骨置换假体的安全放置的预先布置是通过第二软骨来完成的,该第二软骨具有被硅酮塞住的中心孔。在分阶段的过程中,移除硅胶塞,可以进行听骨重建。首例患者的听力学结果显示其内耳功能稳定,空气传导增益为9 dB。在不安全的骨足板的情况下,本文所述的技术已被证明在整个听骨重建中是安全可靠的。

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