[保存耳小骨的硬度和骨结构]。

Laryngologie, Rhinologie, Otologie Pub Date : 1988-10-01
K B Hüttenbrink
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引用次数: 0

摘要

在拉力压缩试验机上,研究了正常人听骨的机械刚度(断裂强度)。粉碎前后小骨的骨结构通过高倍x线摄影检查。有了这项新技术,到目前为止只能在组织学上显示的小听骨的微小骨骼细节——因此会破坏物体——可以在不对小听骨造成任何改变的情况下可视化。不同的保存方法对听骨的结构和机械强度没有影响。断裂线是随机分布的,没有优先方向。在进一步的实验中,用金刚石毛刺切割小骨表面的缺陷,用放射照相和扫描电子显微镜进行了研究。压缩的骨尘封闭了开放的骨髓空间。这可以显著减少骨吸收,正如几年前植入的类似制备的去除听骨移植物所证明的那样。高级别x线片显示,在典型的中耳手术中切除的几个小听骨被金属粉末覆盖,这是由于术中毛刺与金属吸盘接触所致。合金中10%的镍成分可能会对已知的镍过敏患者造成问题,考虑到与大面积表面弥散的金属粉尘颗粒的密切接触。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The hardness and osseous structure of preserved ear ossicles].

The mechanical rigidity (breaking strength) of normal human ossicles, preserved with cialit and formalin, was studied in a tension compression testing machine. The bony structure of the ossicles before and after crushing was examined via high-grade magnifying radiography. With this new technique, minute bony details of the ossicles, which up to now could be demonstrated only histologically--consequently destroying the object--can be visualised without inflicting any changes to the ossicle. The different preservation methods had no effect on the structure or the mechanical strength of the ossicles. The fracture lines were distributed at random, with no preferential direction. In further experiments, defects in the ossicles' surfaces, which were cut with diamond burrs, were investigated radiographically and with a scanning electron microscope. The compressed bone dust seals up the opened marrow spaces. This reduces bone resorption significantly, as could be demonstrated with removed ossicular transplants similarly prepared, with had been implanted several years ago. The high grade radiographic magnification revealed that several ossicles which were removed during typical middle ear operations, were covered with metallic powder, originating from the intra-operative contact of the burr with the metallic suction tube. The 10% nickel component of the alloy may cause problems in patients with known nickel allergy, considering the intensive contact with the vast surface of the disseminated metallic dust particles.

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