有无镫骨上部结构在耳内镜下重建听骨链的效果分析。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-02-01 Epub Date: 2024-03-04 DOI:10.1080/00016489.2024.2322965
Yufeng Yang, Wenjing Gui, Cong Wu, Xianmin Wu
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引用次数: 0

摘要

背景:关于听骨链重建后镫骨上部结构的影响已有大量研究,但研究结果并不一致:比较在耳内镜下使用部分听骨替代假体(PORP)或全听骨替代假体(TORP)进行听骨链重建的听力效果:回顾性分析了111例慢性化脓性中耳炎患者的病历。这些患者被分为 PORP 组(57 人)和 TORP 组(54 人)。他们又被细分为 PORP-a 亚组(有耳郭柄)和 PORP-b 亚组(无耳郭柄)、TORP-a 亚组和 TORP-b 亚组。对术前和术后的听力结果进行了分析:结果:PORP 组的术后气导听阈平均改善率、气骨间隙平均改善率和重建成功率均显著高于 TORP 组(P P 结论和意义:镫骨上部结构对内窥镜听骨链重建的术后效果有重要的积极影响。
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Analysis of the effect of reconstructing the ossicular chain under otoendoscopy with and without a stapes superstructure.

Background: Numerous studies have been conducted on the effect of the stapes superstructure after ossicular chain reconstruction, but the findings are not uniform.

Objective: To compare the hearing outcomes of ossicular chain reconstruction with partial ossicular replacement prosthesis (PORP) or total ossicular replacement prosthesis (TORP) under otoendoscopy.

Materials and methods: The records of 111 patients diagnosed with chronic suppurative otitis media were retrospectively analyzed. These patients were divided into PORP group (n = 57) and TORP group (n = 54). They were further subdivided into subgroups PORP-a (with a malleus handle) and PORP-b (without a malleus handle), subgroups TORP-a and TORP-b. Pre- and postoperative audiometric results were analyzed.

Results: The mean postoperative air conduction hearing thresholds improvement, mean air-bone gap improvement, and the success rate of reconstruction were significantly higher in the PORP group than in the TORP group (p < .05). The mean postoperative air conduction hearing thresholds improvement and the success rate of reconstruction were significantly higher in the PORP-a group than in the TORP-a group (p < .05); and similar results were concluded in comparison of the PORP-b group and the TORP-b group.

Conclusions and significance: The stapes superstructure has an important positive effect on the postoperative outcome of endoscopic ossicular chain reconstruction.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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