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本文报道了25年来对1540例胆脂瘤中耳炎或慢性化脓性中耳乳突炎患者作鼓室乳突手术的经验。大多数病例在清除病灶同时作Ⅰ期鼓室修复术以保存或改善患者听力。硬化型或发育不良型乳突一般都取耳内径路进行手术。改良乳突根治术是中耳乳突病变的基本手术。氏提倡采用所谓“保守的鼓室乳突手术”。文中详细介绍了手术的切口、手术野的暴露、病变清理的步骤和方法。作者认为手术应在显微镜下进行。外耳道皮肤应予保留。术中注意不伤及耳郭软骨。采用高速气
This article reports on 25 years of experience with tympanomast surgery in 1540 patients with otitis media with cholesteatoma or chronic suppurative otitis media. Most cases in the removal of lesions at the same time as tympanic repair Ⅰ to save or improve patient hearing. Hardened or dysplastic mastoid usually take the ear canal surgery. Modified radical mastoidectomy is the basic operation of the disease of the middle ear. ’S advocate the use of so-called “conservative tympanotomy.” The article details the surgical incision, surgical field exposure, pathological clean-up steps and methods. The authors believe that surgery should be carried out under a microscope. External auditory canal skin should be retained. Care should be taken not to hurt the ear cartilage. Using high-speed gas