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镫骨切除的并发症,在耳科文献中已有详细的记载和讨论,迄未有并发浆液性中耳炎的报道。作者们在近3年来施行186次镫骨切除术中,有3例并发本病。患者术前除传音性聋外,均未有过其他耳病史;咽鼓管通畅,鼓膜及鼓室粘膜正常。术式均取外耳道后壁进路,在切除底板后以静脉瓣覆盖,用Robinson活塞修复。术后气骨导差距消失,听力明显提高。但患者分别于术后6周、2月、3月半后并发浆液性中耳炎,经鼓膜穿刺、切开插入通气管后,2例治愈。1例因通气管反
The complications of tarsal osteotomy have been well documented and discussed in the literature of the otology, and no reports of concurrent otitis media have been reported. In the past 3 years, the authors have performed 186 trochlear resections and 3 have complicated this disease. In addition to preoperative patients with acoustic deafness, no other history of ear disease; eustachian tube patency, tympanic membrane and tympanic mucosa normal. Surgery were taken from the posterior wall of the external auditory meatus into the road, after removal of the floor covered with venous flap, with Robinson piston repair. Postoperative airgap difference disappeared, hearing was significantly improved. However, patients were treated with serous otitis media at 6 weeks, 2 months and 3 months after operation, respectively. After tympanoplasty, the patients were cured in 2 cases. 1 case due to ventilation tube