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首页> 外文期刊>The Journal of laryngology and otology. >From incus bypass to malleostapedotomy: technical improvements and results.
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From incus bypass to malleostapedotomy: technical improvements and results.

机译：从INCUS旁路到陈芽秀考术：技术改善和结果。

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摘要

Objective: To assess results of malleostapedotomy using a Fisch Storz titanium piston with at least 10 months' follow up. Methods: Using a prospective database, the indications, surgical technique, and pre- and post-operative audiometric data for 60 patients undergoing malleostapedotomy between 2002 and 2010 were evaluated. Diagnoses and primary and revision surgeries were compared with reference to the literature. Results: Sixty endaural malleostapedotomies were performed, 28 as a primary intervention and 32 as revision surgery. In 68 per cent, the underlying pathology was otosclerosis. The most common reason for revision surgery (i.e. in 59 per cent) was prosthesis dysfunction. Overall, the mean air-bone gap (0.5-3?kHz) for the primary intervention and revision surgery groups was 9.4 and 11.3?dB, respectively; an air-bone gap of less than 20?dB was obtained in 100 and 81 per cent of patients, respectively. There was no significant audiological difference between the primary and revision surgeries groups, and no deafness. Conclusion: Malleostapedotomy shows comparable results to standard incus-stapedotomy and may be preferable in the presented situations.
机译：目的：利用FISCH Storz钛活塞评估甘伦肺突廓术的结果，至少有10个月的跟进。方法：使用预期数据库，评估2002和2010年间在2002年至2010年间在2002年至2010年期间进行了60名患者的患者的适应症，手术技术和术前听力分子数据。将诊断和初步和修订手术与文献进行比较。结果：进行六十个胚胎甘露乳突术，28例作为初级干预和32作为修正手术。在68％中，潜在的病理是耳塞病。修复手术的最常见原因（即59％）是假体功能障碍。总体而言，初级干预和修订手术组的平均空腹间隙（0.5-3？KHz）分别为9.4和11.3？DB;在100％和81％的患者中获得了小于20μm≤DB的空气骨间隙。初级和修订手术组之间没有显着的听力学差异，没有耳聋。结论：甘蓝型综合症表现出与标准的稳定术相当的结果，并且在所呈现的情况下可能是优选的。

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