- 期刊
「量身訂做」乳突鑿開術及軟骨填塞法治療膽脂瘤
Tailor-made Mastoidectomy with Cartilage Obliteration in Cholesteatoma Surgery
摘要
BACKGROUND: A new surgical technique, a tailor-made mastoidectomy with cartilage obliteration, is described for the treatment of cholesteatoma. Motivated by the concept of functional tissue preservation, inner functional mastoid structures are preserved and the surgical procedure simplified. METHODS: The 165 cholesteatomatous patients in this retrospective study, underwent surgical treatment between 1981 and 1995 in the Department of Otolaryngology, Taipei Veterans General Hospital. The tailor-made mastoidectomy method group (85 cases) contrasted with the modified mastoidectomy method group (80 cases) in four ways: 1. The mastoid surgical region depended on individual cases, 2. Aiming to preserved the mastoid mucosa and air cells as much as possible, 3. No need to routinely lower the facial ridge, 4. One-staged surgery, performing cartilage obliteration procedures after a tailor-made mastoidectomy. RESULTS: The mean post-operative hearing gain was 4.1dB HL, and there was one case of recurrence (1.2%) in the tailor-made mastoidectomy method group. The mean post-operative hearing gain was 4.0 dB HL with two cases of recurrence (2.5%) in the modified mastoidectomy method group. No statistically significant difference was found between these two groups. CONCLUSION: Without compromising the surgical hearing outcome, the tailor-made mastoidectomy method has distinct advantages when compared with the modified mastoidectomy method.
並列摘要
BACKGROUND: A new surgical technique, a tailor-made mastoidectomy with cartilage obliteration, is described for the treatment of cholesteatoma. Motivated by the concept of functional tissue preservation, inner functional mastoid structures are preserved and the surgical procedure simplified. METHODS: The 165 cholesteatomatous patients in this retrospective study, underwent surgical treatment between 1981 and 1995 in the Department of Otolaryngology, Taipei Veterans General Hospital. The tailor-made mastoidectomy method group (85 cases) contrasted with the modified mastoidectomy method group (80 cases) in four ways: 1. The mastoid surgical region depended on individual cases, 2. Aiming to preserved the mastoid mucosa and air cells as much as possible, 3. No need to routinely lower the facial ridge, 4. One-staged surgery, performing cartilage obliteration procedures after a tailor-made mastoidectomy. RESULTS: The mean post-operative hearing gain was 4.1dB HL, and there was one case of recurrence (1.2%) in the tailor-made mastoidectomy method group. The mean post-operative hearing gain was 4.0 dB HL with two cases of recurrence (2.5%) in the modified mastoidectomy method group. No statistically significant difference was found between these two groups. CONCLUSION: Without compromising the surgical hearing outcome, the tailor-made mastoidectomy method has distinct advantages when compared with the modified mastoidectomy method.
延伸閱讀
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