论文部分内容阅读
目的 :探讨提高先天性外中耳畸形患者的听力、改善仪表、缩短治疗时间的新术式。方法 :采用一次性整复术 ,即全麻或局麻下作“Z”形切口 ,将残耳作为 A瓣 ,耳后皮作为 B瓣 ,乳突骨膜作成蒂在前方的 C瓣 ,完成外耳道及鼓室成形术后将 C瓣翻入腔的前壁 ,A瓣改作新耳的下半部 ,B瓣包裹硅胶支架作成新耳的上半部 ,乳突腔裸面用半厚游离皮衬贴 ,凡士林纱条填塞固定 2周。结果 :用此法治疗 2例 ,分别随访 3年及 1年 ,均获良好的形态及听力效果。结论 :一次性整复术整复先天性外中耳畸形 ,省时、省钱、痛苦小、效果佳 ,值得推广。
Objective: To explore new methods to improve the hearing, improve the instrument and shorten the treatment time in patients with congenital external middle ear malformations. Methods: A one-time plastic surgery was performed under general anesthesia or local anesthesia with “Z” shaped incision. The residual ear was used as A flap, the posterior hindbrain was used as B flap, and the mastoid periosteum was made anterior C flap. And tympanoplasty after the C flap into the anterior wall of the cavity, A flap replaced the lower half of the new ear, B flap wrapped silica gel to form the new ear on the top half, Vaseline gauze packing for 2 weeks. Results: Two cases were treated with this method and were followed up for 3 years and 1 year, respectively. All achieved good morphological and hearing effects. Conclusion: One-time plastic surgery to repair congenital external middle ear deformity, save time, save money, little pain, good results, it is worth promoting.