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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Combined atresiaplasty and tragal reconstruction for microtia and congenital aural atresia: thesis for the American Laryngological, Rhinological, and Otological Society.
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Combined atresiaplasty and tragal reconstruction for microtia and congenital aural atresia: thesis for the American Laryngological, Rhinological, and Otological Society.

机译：小切口和先天性耳道闭锁的联合闭锁成形术和小梁重建术：美国喉科，鼻科和耳科协会的论文。

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OBJECTIVE: To describe a new technique for combining atresiaplasty with tragal reconstruction by performing the tragal reconstruction with cartilage grafting at the same time as the atresiaplasty for patients with microtia and congenital aural atresia. Hearing and canaloplasty outcomes for this combined technique are reported. PATIENTS: Patients with aural atresia (n = 19) with (n = 16) or without (n = 3) microtia, and a Jahrsdoerfer grade of 6 or higher. Mean age was 8.3 years. Atresiaplasty was performed in 20 ears, with the new combined technique in 15 ears (75%). METHODS/INTERVENTIONS: During the meatoplasty portion of atresiaplasty, the tragus was reconstructed with a cartilage graft and an anteriorly pedicled skin flap. OUTCOME MEASURES: Hearing results, complications including canal stenosis, infections, sensorineural hearing loss, and facial nerve injuries. RESULTS: The mean postatresiaplasty pure tone average (PTA) and air bone gap (ABG) were 37.5 and 29.4 dB, respectively. Eleven (55%) of theears had an ABG of < or =30 dB, and 10 (50%) had speech reception thresholds (SRT) of < or =30 dB. Six ears (30%) had postoperative infections. Revision surgery was performed in four ears (20%) for canal/meatal stenosis, and in six (30%) for conductive hearing loss. Bone Anchored Hearing Aid was performed in six patients (30%). There was no sensorineural hearing loss or facial nerve injury. CONCLUSIONS: The new combined tragal reconstruction and atresiaplasty technique yielded satisfactory hearing, canal/meatal patency, and cosmetic results, with acceptable rates of complications. This combined tragal reconstruction and atresiaplasty technique is a valuable option in the armamentarium of microtia and atresia surgeons.
机译：目的：描述一种新技术，将小眼症和先天性耳道闭锁患者在闭锁手术的同时进行小梁重建和软骨移植，从而将闭锁成形术与小梁重建结合起来。据报道这种联合技术的听力和管成形术的结果。患者：听觉闭锁（n = 19）有（n = 16）或无（n = 3）小眼症，Jahrsdoerfer等级为6或更高。平均年龄为8.3岁。新的联合技术在20耳中进行了闭锁手术，在15耳中进行了（75％）。方法/干预：在闭锁成形术的肉眼成形术部分，用软骨移植物和前蒂带蒂皮瓣重建耳屏。观察指标：听觉结果，并发症，包括管腔狭窄，感染，感音神经性听力减退和面神经损伤。结果：术后平均纯音平均（PTA）和气骨间隙（ABG）分别为37.5和29.4 dB。 11个（55％）的耳朵的ABG≤30 dB，而10（50％）的语音接收阈值（SRT）≤30 dB。六只耳朵（占30％）有术后感染。进行翻修手术的四只耳朵（占20％）用于耳道/金属狭窄，而六只耳朵（占30％）用于进行传导性听力损失。六名患者（30％）进行了骨锚式助听器。没有感觉神经性听力损失或面神经损伤。结论：新的小梁再造术和闭锁成形术相结合，可产生令人满意的听力，运河/金属通畅性和美容效果，并发症发生率也可接受。在小眼畸形和闭锁外科医生的军备库中，这种结合的gal骨重建和闭锁成形术是有价值的选择。

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