Management of Acquired Aural Atresia and Stenosis: A Case Series.

Runqin Yang, Yu Zhao, Rui Li, Changmin Zhang, Miaomiao Du, Wenyue Wang, Xiaoxiao Liu, Dingjun Zha, Yu Han
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Abstract

Background: Acquired aural atresia and aural stenosis have high recurrence rates, which are challenging for ear, nose, and throat surgeons. This study aimed to discuss the management of acquired aural atresia and aural stenosis to obtain favorable outcomes. Methods: Four representative cases of different etiologies are presented, and a related literature review was conducted. Results: Four patients aged 11 to 63 years were included in this study. Every patient with long-term follow-up (≥1 year) achieved favorable outcomes via pre- and postoperative management. Conclusion: Prevention in clinical practice is conducive to decreasing the incidence of acquired aural stenosis and aural atresia. Surgical techniques and postoperative management determine operative success. External auditory canal support is indispensable, and local corticosteroid injections in the early stage are beneficial for the management of restenosis.

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后天性耳道闭锁和狭窄的处理:病例系列。
背景:获得性耳道闭锁和耳道狭窄的复发率很高,这对耳鼻喉外科医生来说具有挑战性。本研究旨在讨论如何处理获得性耳道闭锁和耳道狭窄,以获得良好的治疗效果。方法:介绍四例不同病因的代表性病例,并对相关文献进行回顾。结果:本研究共纳入四例患者,年龄在 11 岁至 63 岁之间。通过术前和术后处理,每位长期随访(≥1年)的患者都取得了良好的疗效。结论:临床实践中的预防措施有利于降低获得性耳道狭窄和耳道闭锁的发病率。手术技术和术后管理决定了手术的成功与否。外耳道支撑不可或缺,早期局部皮质类固醇注射有利于再狭窄的治疗。
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