Contracted Mastoid를 가진 만성 중이염 환자의 임상적 관찰

이창민; 이규엽; 손정호; 최영준; 장현욱; 김재혁; 이상흔

추천

검색

자료유형: 학술저널

저자정보: 이창민 이규엽 손정호 최영준 장현욱 김재혁 이상흔

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제9호

발행연도: 2005.1

수록면: 1,096 - 1,101 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives：High resolution computed tomography (HRCT) helps locating the anatomical structure within the temporal bone preoperatively. Contracted mastoid has lots of changed anatomical structure and outside in technique tympanomastoidectomy procedure cannot provide safe and effective access. The aims of this study are to analyze changed anatomical structure and to suggest safer and more effective surgical procedures in chronic otitis media patients with contracted mastoid. Subjects and Method：We measured distances between important surgical landmarks and cross sectional area of pneumatized air cells in contracted mastoid, and compared with normal groups. We analyzed postoperative complications between outside in technique and inside out technique tympanomastoidectomy. Results：The shortest distance between the posterior wall of external auditory canal and the anterior edge of the sigmoid sinus, the vertical shortest distance between the superior wall of external auditory canal and the tegmen, and the cross-sectional area of mastoid air cells were significantly small in contracted mastoid group (p<0.05). There were 2 cases of postoperative facial weakness by outside in technique tympanomastoidectomy. Conclusion：Contracted mastoid has lots of changed anatomical structure. We suggest that inside out technique tympanomastoidectomy procedure is safer and more effective in patients with contracted mastoid.

#측두골·전산화단층촬영·중이염·S자 정맥동. #Temporal bone·Computed tomography·Otitis media·Sigmoid sinus.

참고문헌 (18)

참고문헌 신청

Allam AF / 1969 / Pneumatization of the temporal bone 78 : 49 ~ 64

Atilla S / 1995 / Computed tomographicevaluation of surgically significant vascular variations related withthe temporal bone 20 : 52 ~ 6

Byun JY / 2004 / PostoperativeResults of Canal Wall Up Mastoidectomy Only PerformingAnterior Tympanotomy 47 : 1085 ~ 9

Eby TL / Laryngol1986 / Postnatal growth of the human temporal bone.Implication for cochlear implants in children 95 : 356 ~ 64

Eom DS / 1994 / Topographic study oftemporal bone according to mastoid pneumatization 37 : 14 ~ 20

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!