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用带蒂的颞肌瓣营养内耳,治疗感音神经性聋 10 例,随访 1~2 年,语言骨导听力曲线平均提高 15d B5 例;耳鸣消失3 例,减轻 2 例;眩晕消失 2 例,减轻 1 例。颞肌瓣的长宽之比为3:1,肌瓣必须覆盖在半规管及内淋巴囊之上并用丝线固定,术后创面彻底止血并放置引流片,应用抗生素、血管扩张剂及营养神经的药物。
10 cases of sensorineural deafness were treated with pedicled temporal muscle flap, followed by 1 to 2 years of follow-up. The average hearing-induced curve of bone conduction increased 15 days after B5. The tinnitus disappeared in 3 cases and 2 cases reduced. The vertigo disappeared in 2 cases, Reduce in 1 case. Temporal muscle flap length to width ratio of 3: 1, the muscle flap must be covered in the semicircular canal and endolymphatic sac and fixed with silk, postoperative wound hemostasis and placed draining film, the application of antibiotics, vasodilators and neurotrophic drugs .