耳内镜下中耳及面神经手术135例论文.doc

耳内镜下中耳及面神经手术135例论文.doc耳内镜下中耳及面神经手术135例论文
.freelo,%,面肌轻、中度功能异常3例(%),鼓膜修补患者出院时鼓膜完全愈合者95%,遗有裂隙者5%.随访1~8mo,鼓膜遗有穿孔者9%,失访者11例(12耳).听骨链重建术后,. 结论耳内镜技术用于耳显微、耳神经外科手术效果良好.

Keyiddle/surgery;facial nerve/surgery;endo-scope

Abstract:AIM To research the middle ear and facial nerve surgery using endoscopic technique and it’s 135patients(147ears)atic facial paralysis(n=13),chronic suppurative otitis media(n=111),conductive deafness(n=8),congenital external and middle ear deformity(n=1),congenital cholesteatoma in petrous apex(n=1),osteoma in middle ear(n=1)under-icro- procedures ed (made in German).RESULTS Facial muscle function atic facial paralysis ild to medium facial paralysis after2~8mo of follopanoplasty type I re-covered totally e of discharge and9%o of fol-loproved at an average of30dB in patients astoidectomy got a dry ear at an average Otoendoscopy offers advantages to middle ear and otoneurosurgery.

1 临床资料

2000-06/2001-04我科临床确诊的中耳疾病、周围性面瘫共135例(147耳),其中男77例,~56()(定位面神经锥段、水平段、膝状神经节损伤12例、颞骨粉碎性伴内听道骨折1例);慢性化脓性中耳炎(单纯型)58例(64耳)、肉芽型26例(28耳)、胆脂瘤型27例(30耳)、传导性耳聋8例(9耳)、外耳中耳先天性畸形1例、先天性岩尖胆脂瘤伴面瘫1例、,°,30°耳镜(SN20355,28301B);S f15-f25);Sony21英寸监视器;S端子线以及Snak自动喷水电钻;耳显微及面神经手术器械等.