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首页> 外文期刊>European archives of oto-rhino-laryngology: Official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) >Comparison of sequential same-day middle ear surgeries: bilateral mastoidectomy, unilateral mastoidectomy with contralateral tympanoplasty, and bilateral tympanoplasty
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Comparison of sequential same-day middle ear surgeries: bilateral mastoidectomy, unilateral mastoidectomy with contralateral tympanoplasty, and bilateral tympanoplasty

机译：连续当日中耳手术的比较：双侧乳突切除术，单侧乳突切除对侧鼓室成形术和双侧鼓室成形术

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摘要

We evaluated the advantages and outcomes of performing bilateral simultaneous middle ear surgery for chronic otitis media. For comprehensive analysis, we compared three subgroups, bilateral mastoidectomy (MM), unilateral mastoidectomy with contralateral tympanoplasty (MT), and bilateral tympanoplasty (TT). A total of 176 ears of 85 patients with chronic otitis media or cholesteatoma underwent bilateral same-day surgery. The side with worse hearing was chosen for the first operation. In the absence of any intra-operative complications, the contralateral operation was then performed. Results of hearing tests did not differ significantly among the three groups except for gained decibels in the TT versus MT groups (P = 0.033). The correlation between pre-operative sound-field audiometry (SFA) and postoperative SFA was statistically significant. These results indicate that low frequency hearing was recovered immediately, but middle and high frequencies recovered later. Temporary taste change differed statistically among the three groups (P = 0.006). There were significantly more revision cases during the postoperative period in the groups that included mastoidectomy (MM group, MT group) (P = 0.035). Bilateral simultaneous middle ear surgery provides good hearing outcomes, reduces costs and operation times, and has a low incidence of complications. The results of our study may be helpful in guiding the otologist's decision when performing bilateral middle ear surgery.
机译：我们评估了对慢性中耳炎进行双侧同时中耳手术的优势和结果。为了进行全面分析，我们比较了三个亚组，即双侧乳突切除术（MM），单侧乳突切除术和对侧鼓室成形术（MT）和双侧鼓室成形术（TT）。 85名慢性中耳炎或胆脂瘤患者的总共176耳接受了当天手术。听力较差的一侧被选为第一次手术。在没有任何术中并发症的情况下，然后进行对侧手术。除了TT组和MT组的分贝增加外，三组的听力测试结果无显着差异（P = 0.033）。术前声场测听（SFA）与术后SFA之间的相关性具有统计学意义。这些结果表明低频听力可立即恢复，而中高频则稍后恢复。三组之间的暂时性味觉变化有统计学差异（P = 0.006）。包括乳突切除术的组（MM组，MT组）在术后期间的翻修病例明显更多（P = 0.035）。双侧同时中耳手术可提供良好的听力结果，减少成本和手术时间，并且并发症发生率低。我们的研究结果可能有助于指导耳科医生在进行双侧中耳手术时的决定。

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