双U形带蒂肌骨膜瓣在外耳道后壁重建及乳突腔填塞中的应用  

Reconstruction of the double U style postauricular musculo-periosteal for mastoid obliteration and canal wall down mastoidectomy

作　　者：杨睿 康文艺 樊迎春 陈洋 

机构地区：[1]广东深圳市南山区蛇口人民医院耳鼻咽喉科,518067

出　　处：《中国中西医结合耳鼻咽喉科杂志》2016年第2期96-98,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：深圳市2012年深圳市科技计划项目立项课题(项目受理编号:20120323514;立项项目编号2012032331)

摘　　要：目的探讨本研究设计的双U形带蒂肌骨膜瓣,结合骨粉乳突术腔填塞术,应用于开放式改良乳突根治术治疗胆脂瘤型中耳炎的临床疗效和意义。方法 2011年1月至2013年8月间胆脂瘤中耳乳突炎患者50例(50耳)施行在开放式改良乳突根治术基础上,应用双U形带蒂肌骨膜瓣,结合骨粉乳突术腔填塞术,同期行鼓室成形术。结果术后随访1年。手术后术腔完全上皮化时间为21天-60天,平均32天。1例术腔未获干耳。结论本研究方法具有乳突术腔愈合时间短,上皮修复覆盖好;术后干耳率高等优点。Objective To investigate the long-term outcome and clinical value of modified radical mastoidectomy with mastoid obliteration using pedicled coinbined flap of double U style postauricular musculo-periosteal conjunction with bone Pate. Methods From January 2011 to August 2013,50 otitis media patients（50 ears）with cholesteatoma were subjected to this kind of operation.Results The follow-up period was more than 1 years, The Period of complete reepithelialization ranged from 3 weeks to 2 months,,with the mean period of 32 days. Only one patient didn＇t get a dry ear. Conclusions These methods had the advantages as follows：Hea Iing of the mastoid cavity in a short time. Better reepithelialization of the obliterated mostoid cavity. High rate of the dry ear in postoperation.

关 键 词：胆脂瘤 中耳 乳突根治术 鼓室成形术 外耳道成形术 乳突腔填充 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]