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在促使慢性化脓性中耳乳突炎患者行根治术后仍有继续流脓的诸多因素中,咽鼓管功能紊乱占主导地位,会妨碍术腔的愈合过程,尤以肉芽型咽鼓管炎为甚,作者对这类患者40例(男35、女5,16～64岁,90%有长期耳溢)进行了观察,用间接鼓室镜检查鼓口,以后孔镜检查其咽口,行碘油咽鼓管造影,咽鼓管通畅度和引流检查。患者均有传音聋,29例尚伴有感音聋;19例造影见咽鼓管扭曲、不光滑,15例造影剂停滞干管峡部;咽鼓管引流功能良好者4例,Ⅱ度5例,完全不通者31例;27例伴有鼻及鼻窦病,须给予相应治疗。肉芽性咽鼓管炎患者的鼓室内有大量肉芽,管的咽口及圆枕处有颗粒状
In promoting chronic suppurative otitis media in patients with radical surgery after radical surgery there are many factors continue to drain, Eustachian tube dysfunction dominated, will hinder the healing process of the cavity, especially granulation-type eustachian tube inflammation Even so, the authors of such patients in 40 patients (35 male, female 5,16 to 64 years old, 90% had a long-term auricular) were observed by indirect tympanoscopy tympanic kyphosis, after the hole mirror examination of the pharynx mouth, line Lipiodol Eustachian tube angiography, eustachian tube patency and drainage check. All patients had acoustic deafness, while 29 patients were still with sensorineural hearing loss. Nineteen patients had eustachian tube distortion and smoothness, and 15 patients had atrial fibrillation. The eustachian tube drainage function was good in 4 patients and Ⅱdegree 5 Cases, totally unreasonable in 31 cases; 27 cases associated with nasal and sinus diseases, to be given the appropriate treatment. Granuloary eustachian tube inflammation in patients with a large number of tympanic chamber granulation, the tube of the pharynx and round pillows at the granular