期刊
ACTA OTO-LARYNGOLOGICA CASE REPORTS
卷 8, 期 1, 页码 1-6出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/23772484.2022.2150627
关键词
Piston extrusion; stapedotomy; otosclerosis; transmembranous
Reported an adverse event of piston extrusion through the tympanic membrane after successful otosclerosis surgery, and its surgical solution. Four patients with a history of stapes surgery in otosclerosis presented with recurrent conductive hearing loss due to piston extrusion. Revision stapes surgery was performed with interposition of cartilage layer between tympanic membrane and piston, resulting in successful outcome without recurrence.
To report an adverse event after successful otosclerosis surgery: piston extrusion through the tympanic membrane, and its surgical solution. Four patients with a history of stapes surgery in context of otosclerosis presented with recurrent conductive hearing loss due to piston extrusion. Otoscopy, audiometric assessment and CT-imaging were conducted to assess the encountered conductive hearing loss and extrusion of the prosthesis. Revision stapes surgery was performed with interposition of cartilage between tympanic membrane and piston-loop. Pre- and postoperative audiometry and otoscopic evaluation. Revision surgery resulted in postoperative ABG within 15 dB. No recurrent extrusion was seen after the mentioned surgical procedure including use of cartilage graft. In case of piston extrusion (trans-tympanic membrane), revision stapes surgery with interposition of a cartilage layer between tympanic membrane and piston is advocated to prevent recurrence.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据