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METHOD FOR SURGICAL TREATMENT OF ISOLATED ANOMALY OF THE DEVELOPMENT OF THE MIDDLE EAR

机译:中耳发育孤立异常的手术治疗方法

摘要

FIELD: medicine; otorhinolaryngology.;SUBSTANCE: behind-the-ear incision with transmeatal access is performed. A checkup of the tympanic cavity and an assessment of the condition of auditory ossicles and the partial atretic plate are carried out. The atretic plate and the lateral wall of the attic are removed. The mobilization of the auditory ossicle chain is carried out, a gap between auditory ossicles and the bone tympanic ring of at least 1.5 mm is formed. A meatotimpanal flap is placed into position with the closure of the tympanic membrane defect with an autofascial flap. Tamponade of the external auditory canal and suturing of the behind-the-ear wound are performed. After assessing the condition of auditory ossicles and the partial atretic plate, bone bridges that fix ossicles to the atretic plate are removed using an instrument: a curette or a hook. After that, a fibrous layer and the mucous membrane are separated from the medial surface of the partial atretic plate until the latter is removed. After removing the atretic plate, an elongated hammer handle is partially resected. The use of protectors that protect the auditory ossicles is carried out. After that, a hollow above the projection of the bone tympanic ring is formed using boron. Then, protectors are removed. A silastic fragment is placed on the bone tympanic ring opposite the end of the hammer handle. ;EFFECT: method makes it possible to increase the efficiency of hearing-improving operations in patients with isolated anomaly of the development of the middle ear and the presence of the partial atretic plate, reduce the traumaticity of the operation and prevent the refixation of the auditory ossicles.;1 cl, 4 dwg, 1 ex
机译:领域:医学; Otorhinolaryngology。;物质:进行耳后切口,进行转移进入。进行鼓风腔的检查和对听筒和部分默认板的条件进行评估。除去atretic板和阁楼的侧壁。进行听觉纺织品链的动员,形成听筒之间的间隙和至少1.5毫米的骨鼓室环。用自动气动皮瓣关闭鼓膜膜缺损,将肉肉膜放入位置。进行外耳道的局部听觉管道和耳后伤口的缝合。在评估听觉骨收集电池的条件和部分托管板之后,使用仪器将固定到托管板的骨桥:刮刀或钩子。之后,将纤维层和粘膜与部分厌醉板的内侧表面分离,直到除去后者。在移除怠速板之后,部分切除细长的锤手柄。进行保护保护器的保护器是进行的。之后,使用硼形成骨鼓膜环上方的中空。然后,除去保护剂。将硅片片段放置在锤手柄的端部对面的骨鼓耳环上。 ;效果:方法使得可以提高患者中患者的患者的听力改善操作的效率和部分默特里板的存在,降低了操作的创伤,防止了对听觉的修复卵石。1 cl,4 dwg,1前

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