CAJ | 학술논문

目的探讨内镜辅助下茎突截短术的可行性.方法 2010年6月至2013年3月对60例患者行经耳后切口的内镜辅助下茎突截短术,其中单侧截短7例,双侧截短53例.结果所有患者成功行茎突截短,切口长度约2.0～2.5 em,单侧截短手术时间为(21.3±4.8)min(x-±s,下同),双侧截短手术时间(48.5±11.4)min.60例患者中54例术后症状完全缓解,3例症状减轻,3例症状无明显缓解.随访3 ～70个月,中位随访时间22个月,症状无复发.3侧术后出现耳周麻木感,3个月后消失；另有1侧出现暂时性周围性面瘫,3个月后恢复.结论经耳后切口内镜辅助下茎突截短术相对安全、微创,术后美观效果较好.
목적 탐토내경보조하경돌절단술적가행성.방법 2010년6월지2013년3월대60례환자행경이후절구적내경보조하경돌절단술,기중단측절단7례,쌍측절단53례.결과 소유환자성공행경돌절단,절구장도약2.0～2.5 em,단측절단수술시간위(21.3±4.8)min(x-±s,하동),쌍측절단수술시간(48.5±11.4)min.60례환자중54례술후증상완전완해,3례증상감경,3례증상무명현완해.수방3 ～70개월,중위수방시간22개월,증상무복발.3측술후출현이주마목감,3개월후소실；령유1측출현잠시성주위성면탄,3개월후회복.결론 경이후절구내경보조하경돌절단술상대안전、미창,술후미관효과교호.
Objective To investigate the feasibility of the endoscope-assisted styloidectomy.Methods Sixty patients with Eagle's syndrome undergoing the endoscope-assisted styloidectomy via postauricular incision,including 7 unilateral and 53 bilateral,between June 2010 and March 2013 were reviewed.Results The styloid processes in all patients were resected successfully via this approach,with the incision length range of 2.0 to 2.5 cm.The mean operative time was (21.3 ± 4.8) min (x-± s),for unilateral surgery and (48.5 ± 11.4) min for bilateral surgery.Fifty-four patients symptom showed complete remission of symptom,3 cases with decrease in symptom and other 3 cases with no significant relief of symptom after surgery.None case recurred for follow-up of 3 to 70 months.There were 3 sides with ear numbness after surgery for 3 months,and one case had transient facial paralysis and recovered after 3 months.Conclusions The endoscope-assisted styloidectomy via postauricular incision is effective and feasible.