상고실성형술과 유양동폐쇄술:283예에서의 평균 38개월 추적 결과

배웅용; 박병건; 강명구; 안중기; 장윤석

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자료유형: 학술저널

저자정보: 배웅용 박병건 강명구 안중기 장윤석

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제8호

발행연도: 2005.1

수록면: 975 - 980 (6page)

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연구주제

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연구배경

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연구결과

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Background and Objectives：There have been heated controversies over the choice of the canal wall down mastoidectomy and canal wall up mastoidectomy, which are operational methods used to eliminate the lesion of chronic otitis media including cholesteatoma. Combining the advantages of both methods, we devised a new operational method in 1994. This study reports the surgical results of the epitympanoplasty employing the mastoid obliteration technique after a follow-up 38 months in 283 cases. Subjects and Method：A retrospective review was made of 283 cases (273 patients) on which this technique was performed by the first author between Dec. of 1994 to Mar. of 2004. The follow-up period varied from 8 to 104 months, with the average period of 38 months. We analyzed postoperative complications including cavity problems, the recurrent cholesteatoma, residual cholesteatoma cases in the mastoid cavity, residual cholesteatoma in the tympanic cavity and postoperative otorrhea and hearing results. Results：The overall incidence of postoperative complications was 21.9%. The results of postoperative complications in the above listed order were 0%, 0%, 1.0%, 4.3% and 5.7%, respectively. Air-bone gap (ABG) closure was 4.73 dB HL and the statistical analysis revealed that the postoperative ABG was significantly lower than the preoperative ABG (p=0.0023). Conclusion： The present study suggests that this procedure prevents the cavity problem, helps reduce recurrence and effectively manages the residual cholesteatoma. Also, this procedure achieves good audiologic results.

#상고실성형술·유양동폐쇄술·진주종. #Epitympanoplasty·Obliteration·Cholesteatoma.

참고문헌 (19)

참고문헌 신청

/ 1995186-7 / Committee on hearing and equilibrium of guidelines for the evaluationof results of treatment of conductive hearing loss

Beales PH / 1959 / The problem of the mastoid segment after tympanoplasty 73 : 527 ~ 31

Birzgalis AR / 1994 / Reconstruction of dischargingmastoid cavities using the temporalis myofacial flap 19 : 70 ~ 2

Brown JS / laryngoscope1982 / A ten year statistical follow-up of 1142 consecutive casesof cholesteatoma : 390 ~ 6

Cho YS / 2001 / Changesin external ear resonance after 3 types of surgery in the patients withchronic otitis media 125 : 364 ~ 9

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