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镫骨切除术受到三种因素的控制,一是对镫骨底板的手术基本原则的理解;二是人造镫骨的设计;三是组织移植片的大小要足以防止外淋巴瘘。本文介绍Robinson镫骨切除术,方法简单,安全,效果良好,为一标准化术式。适用于一期和二期手术。手术分五步:(1)除去骨性外耳道后壁,充分暴露镫骨和砧骨;(2)切除镫骨上部的结构;(3)切除部分镫骨底板,形成一个0.8mm或与底板等大的窗洞;
Tarsal osteotomy is controlled by three factors, one is the understanding of the basic principles of stapes operation; the other is the design of artificial stapes; and the size of the tissue graft is enough to prevent the perilymph fistula. This article describes Robinson stapes resection, the method is simple, safe, good effect, as a standardized operation. For one and two operations. The operation is divided into five steps: (1) removing the posterior wall of the bony external auditory canal and fully exposing the stapes and the incus; (2) resecting the structure of the stapes upper part; (3) removing part of the stapes, forming a 0.8mm Big window