中华耳科学杂志
中華耳科學雜誌
중화이과학잡지
CHINESE JOURNAL OF OTOLOGY
2009年
2期
165-167
,共3页
狭窄或闭锁%外耳道%外科手术
狹窄或閉鎖%外耳道%外科手術
협착혹폐쇄%외이도%외과수술
Narrowness or atresia%Meatoplasty
目的 探讨外伤性外耳道狭窄或闭锁的诊断和治疗方法 .方法 回顾性分析1991年7月至2007年12月期间19例因外伤所致的外耳道狭窄或闭锁的临床资料.结果 19例均行外耳道成形术,随访1～12年,15例外耳道较宽大,听力正常.有4例术后一个月后又狭窄:其中3例为瘢痕体质,1例经长期用碘仿纱条填压扩大而愈,2例给予填压扩大后又有狭窄的趋势,采用硅胶管扩张3个月治愈;1例再次手术治愈.结论 早期诊断外伤性外耳道狭窄或闭锁非常重要,外耳道成形术是一种有效的手段,应根据狭窄部位和程度的不同情况采取相应的处理方法 ,术后需长期随访.
目的 探討外傷性外耳道狹窄或閉鎖的診斷和治療方法 .方法 迴顧性分析1991年7月至2007年12月期間19例因外傷所緻的外耳道狹窄或閉鎖的臨床資料.結果 19例均行外耳道成形術,隨訪1～12年,15例外耳道較寬大,聽力正常.有4例術後一箇月後又狹窄:其中3例為瘢痕體質,1例經長期用碘倣紗條填壓擴大而愈,2例給予填壓擴大後又有狹窄的趨勢,採用硅膠管擴張3箇月治愈;1例再次手術治愈.結論 早期診斷外傷性外耳道狹窄或閉鎖非常重要,外耳道成形術是一種有效的手段,應根據狹窄部位和程度的不同情況採取相應的處理方法 ,術後需長期隨訪.
목적 탐토외상성외이도협착혹폐쇄적진단화치료방법 .방법 회고성분석1991년7월지2007년12월기간19례인외상소치적외이도협착혹폐쇄적림상자료.결과 19례균행외이도성형술,수방1～12년,15예외이도교관대,은력정상.유4례술후일개월후우협착:기중3례위반흔체질,1례경장기용전방사조전압확대이유,2례급여전압확대후우유협착적추세,채용규효관확장3개월치유;1례재차수술치유.결론 조기진단외상성외이도협착혹폐쇄비상중요,외이도성형술시일충유효적수단,응근거협착부위화정도적불동정황채취상응적처리방법 ,술후수장기수방.
Objective To study management of traumatic stenosis and atresia of the external auditory canal.Methods Nineteen cases of traumatic stenosis or atresia of the external auditory canal treated between July 1991 and December 2007 were retrospectively analyzed.All 19 cases were treated with external auditory canal plastic surgery and followed for 1 to 12 years.Results Adequate ear canal sizes were maintained in 15 cases with normal hearing at their last follow ups.Recurrent stenosis occurred in 4 cases,of which 1 was treated with iodoform gauze packing,2 with silastic tubes,and 1 with revision surgery.Conclusion External auditory canal plastic surgery is effective in treating traumatic stenosis and atresia,preferably in the early stage.
