만성 중이염 175명 환자의 고실성형술에 의한 청력 결과

정용수; 곽희붕; 이여진; 박문수; 김재명; 신정은; 박홍주

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자료유형: 학술저널

저자정보: 정용수 곽희붕 이여진 박문수 김재명 신정은 박홍주

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제52권 제11호

발행연도: 2009.1

수록면: 880 - 884 (5page)

이용수

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연구주제

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연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

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Background and Objectives To report the hearing results of tympanoplasty for chronic otitis media with or without cholesteatoma. Subjects and Method One hundred and seventy-five patients presenting chronic otitis media with or without cholesteatoma were involved in a retrospective study. Tympanoplasties were performed by the same surgeon over a 30-month period. Audiometric results were reviewed. Audiometric results according to the following techniques were measured: tympanoplasty type 1 (T1), interposition (Si) and/or columella (Sc) over stapedial head, and interposition or columella (Fic) over footplate. The follow-up period ranged from 6 to 32 months. Audiological parameters using the average of four frequencies were assessed pre- and post-operatively. Results Overall hearing results showed postoperative air-bone gaps (ABG) ≤20 dB in 69% of cases. ABG was closed to within 20 dB in 89% for T1, 67% for Sc, 58% for Si, and 30% for Fic. ABG was closed to within 30 dB in 95% for T1, 67% for Sc, 83% for Si, and 70% for Fic. There was a significant improvement between preoperative and postoperative ABGs. The overall improvement of the air-bone gap was 8±13 dB. There was no significant functional difference between different surgical techniques. Conclusion Our hearing results after tympanoplasties were similar to those from other studies. The hearing results observed in this study confirmed that successful results can be obtained by applying the current principles and approach to ossicular reconstruction.

#Ossicular reconstruction·Ossiculoplasty·Tympanoplasty·Chronic otitis media

참고문헌 (21)

참고문헌 신청

Claes J / 1990 / Allograft tympanoplasty: predictive value of preoperative status / Laryngoscope 100 (12) : 1313 ~ 1318

Cody DT / 1973 / Tympanoplasty: long-term results / Ann Otol Rhinol Laryngol 82 (4) : 538 ~ 546

Gardner EK / 2004 / Results with titanium ossicular reconstruction prostheses / Laryngoscope 114 (1) : 65 ~ 70

Gerber MJ / 2000 / Hearing results after primary cartilage tympanoplasty / Laryngoscope 110 (12) : 1994 ~ 1999

Goldenberg RA / 2000 / Long-term results with hydroxylapatite middle ear implants / Otolaryngol Head Neck Surg 122 (5) : 635 ~ 642

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