耳内镜下儿童局限性中耳胆脂瘤的分期手术

陈抗松;虞幼军;赖彦冰;王博琛;郑立岗;刘振;

1:佛山市第一人民医院耳-侧颅底外科

2:听觉与平衡医学研究所

摘要

目的探讨耳内镜下儿童局限性中耳胆脂瘤分期手术的可行性。方法对5例儿童单侧中耳胆脂瘤患者在耳内镜下进行一期鼓膜切除、取出听骨链及清理胆脂瘤病变,3～6个月后于耳内镜下行鼓室探查、听骨链重建及鼓膜修补,分析耳内镜下分期手术的效果及体会。结果二期术后随访半年,5例患儿术耳平均气导听阈为28.32±1.17 dB HL,平均气骨导差为15.66±3.21 dB,与术前(42±3.79 dB HL)比较听力明显提高(P<0.01),复查鼓膜移植物在位、愈合良好,无内陷或穿孔。结论耳内镜下分期手术治疗儿童局限性中耳胆脂瘤能明显减少手术对中耳及乳突结构和功能的破坏,术后患者听力提高及鼓膜愈合效果好。

关键词

耳内镜;儿童;中耳胆脂瘤;分期手术

基金项目(Foundation):

作者

陈抗松;虞幼军;赖彦冰;王博琛;郑立岗;刘振;

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