The surgical reconstruction of congenital aural atresia via tympanic antrum approach

VernacularTitle:鼓窦径路手术治疗先天性外耳道闭锁中耳畸形——附89例临床分析
Author: Haijiang DAI ; Shouqin ZHAO ; Yali ZHENG ; Zilong YU
Publication Type:Journal Article
From: Chinese Archives of Otolaryngology-Head and Neck Surgery 2001;8(1):3-6
CountryChina
Language:Chinese
Abstract: Objective: To investigate the effect of surgical reconstruction of congenital aural atresia via tympanic antrum approach and the prevention for reatresia of the aural canal. Methods: From 1993 to 1998, 89 patients (94 ears) with congenital aural atresia were operated via tympanic antrum approach. All of them got aural canals reconstruction and tympanoplasty, including 80 ears of type Ⅱ, 11 ears of type Ⅲ and 3 ears for fenestration of inner ear. Kenacort\|A and dilator were used to prevent reastresia of the aural canals. Results: The tympanic antrums of 94 ears were encountered smoothly, and their hearings were reconstructed. The hearing improvement were found over 20dB in 80 ears (85.1%), over 25dB in 49 ears (52.1%). Kenacort\|A and dilator should be applied when the reastresia began to appear, and then the good effect could be made. Conclusion: It′s easy to master for surgical reconstruction of congenital aural atresia via tympanic antrum approach, and it also owns the characteristics of safety, save time and reliable effect. It should be managed as soon as the reastresia appears.