Abstract:
PURPOSE:Retraction pocket and extrusion of the ossicular prosthesis remain significant problems after tympanoplasty in cholesteatoma surgery. This study presents an alternative surgical technique with a total compact ossicular prosthesis including cartilage, wire, and temporalis fascia. MATERIALS AND METHODS:A total of 42 patients (27 adults, 15 children) underwent an ear operation for cholesteatoma requiring total ossicular chain replacement during a 10-year period. Surgery included canal wall down mastoidectomy and reconstruction of the middle ear in one stage. The total ossicular replacement prosthesis was made by a stainless steel wire passed and secured through a piece of conchal cartilage and temporalis fascia positioned on the free end of the wire. The analysis of our data included hearing results pre-surgery and post-surgery, complications recorded in the case notes, and postoperative otoscopic findings. RESULTS:The mean air-bone gap decreased from 39.2 to 22.4 dB in the early postoperative period (mean follow-up, 12.8 months). Eight patients with a long-term follow-up (mean, 7.1 years) presented a small deterioration of their postoperative hearing improvement. The bone conduction did not present significant changes. Three patients developed postoperative infection and treated successfully with medical therapy. No significant complications as displacement or extrusion of the prosthesis and retraction pocket were detected postoperatively. CONCLUSION:This is an alternative tympanoplasty technique with a stable cartilage-wire-fascia total ossicular prosthesis. This technique has a low complication rate; good hearing results and offers another surgical option to the surgeon especially for cases where the cost is a concern.
journal_name
Am J Otolaryngoljournal_title
American journal of otolaryngologyauthors
Vital V,Konstantinidis I,Vital I,Triaridis S,Constantinidis Jdoi
10.1016/j.amjoto.2007.12.001subject
Has Abstractpub_date
2008-11-01 00:00:00pages
393-7issue
6eissn
0196-0709issn
1532-818Xpii
S0196-0709(07)00221-9journal_volume
29pub_type
杂志文章abstract:PURPOSE:Adenoid cystic carcinoma (ACC) is a uncommon salivary malignant tumor. Our aim was to review our experience with parotid ACC, to identify clinical-pathological parameters predictive for outcome. MATERIALS AND METHODS:We retrospectively reviewed 228 patients affected by parotid gland carcinomas surgically treat...
journal_title:American journal of otolaryngology
pub_type: 杂志文章
doi:10.1016/j.amjoto.2017.03.008
更新日期:2017-01-01 00:00:00
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journal_title:American journal of otolaryngology
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更新日期:2018-01-01 00:00:00
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更新日期:1990-03-01 00:00:00
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journal_title:American journal of otolaryngology
pub_type: 杂志文章,多中心研究
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abstract::The distribution of minimal two-point discrimination values on the tongue and soft palate was investigated in normal subjects using electric stimulation. It was performed using square pulses of 0.35 ms duration, a rate 10 Hz, a voltage between 3.5 and 7.0 with an average of 4.09 using two silver-silver chloride electr...
journal_title:American journal of otolaryngology
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journal_title:American journal of otolaryngology
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journal_title:American journal of otolaryngology
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更新日期:2014-11-01 00:00:00
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journal_title:American journal of otolaryngology
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doi:10.1016/j.amjoto.2005.07.017
更新日期:2006-03-01 00:00:00
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journal_title:American journal of otolaryngology
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更新日期:1995-05-01 00:00:00
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更新日期:1998-11-01 00:00:00
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journal_title:American journal of otolaryngology
pub_type: 杂志文章,随机对照试验
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更新日期:2019-01-01 00:00:00
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journal_title:American journal of otolaryngology
pub_type: 杂志文章
doi:10.1016/j.amjoto.2018.03.005
更新日期:2018-01-01 00:00:00
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journal_title:American journal of otolaryngology
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更新日期:2010-07-01 00:00:00
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journal_title:American journal of otolaryngology
pub_type: 杂志文章
doi:10.1016/j.amjoto.2013.12.014
更新日期:2014-05-01 00:00:00
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journal_title:American journal of otolaryngology
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更新日期:2021-01-01 00:00:00
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journal_title:American journal of otolaryngology
pub_type: 杂志文章
doi:10.1016/j.amjoto.2012.11.006
更新日期:2013-05-01 00:00:00
abstract::Hemangiopericytomas are soft tissue tumors composed of pericytic cells that are characterized by their "staghorn" vascular branching and their variable clinical presentation. Fifteen to 25% of all HPC occur in the head and neck, with only 5% found in the nose or paranasal sinuses. Sinonasal hemangiopericytoma (SNHPC) ...
journal_title:American journal of otolaryngology
pub_type: 杂志文章,评审
doi:10.1016/j.amjoto.2016.09.003
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:Laryngeal papillomatosis is the most common benign tumor of the larynx of children. It is characterized by the development of exophytic proliferative lesions in the mucosa of the airways. Human papillomavirus (HPV) has been recognized as a causal agent among which HPV types 6 and 11 are the most frequently impl...
journal_title:American journal of otolaryngology
pub_type: 杂志文章
doi:10.1016/j.amjoto.2019.02.003
更新日期:2019-01-01 00:00:00
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journal_title:American journal of otolaryngology
pub_type: 杂志文章,评审
doi:10.1016/j.amjoto.2010.05.001
更新日期:2011-07-01 00:00:00
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journal_title:American journal of otolaryngology
pub_type: 杂志文章
doi:10.1053/ajot.2002.124195
更新日期:2002-09-01 00:00:00
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journal_title:American journal of otolaryngology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.amjoto.2018.03.017
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:Due to the COVID-19 pandemic, aerosol-generating procedures (AGPs) such as flexible endoscopic evaluation of swallowing (FEES) have been deemed high-risk and in some cases restricted, indicating the need for additional personal protective equipment. The aim of this study was to erect and study a protective barr...
journal_title:American journal of otolaryngology
pub_type: 杂志文章
doi:10.1016/j.amjoto.2020.102888
更新日期:2021-01-04 00:00:00