激光在胆脂瘤手术中的作用。

IF 0.2 4区医学 Q3 Medicine

B-Ent Pub Date : 2004-01-01

J W Hamilton

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引用次数: 0

摘要

胆脂瘤手术的主要目的是切除病变。因此，大多数残留病变都发生在与小骨相邻且无法直接观察的部位。理想的器械应该能够在不移动的情况下清除疾病，并且应该能够从无法直接进入的区域清除疾病。激光满足这一标准。材料与方法:对1991年以来行无激光耳管壁胆脂瘤手术的耳与行含激光耳管壁胆脂瘤手术的耳进行比较。结果:共分析514例手术(无激光313例，激光201例)。分别有83例(26.5%)和21例(10.4%)残留病变(P < 0.0001)。使用KTP激光的手术无面神经损伤病例，无全感音神经性听力损失病例。结论:在胆脂瘤手术中适当使用KTP激光可显著提高疾病的完全切除，且对颞骨内重要结构无额外风险。

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本刊更多论文

The role of the KTP laser in cholesteatoma surgery.

Introduction: The primary aim in cholesteatoma surgery is the removal of the disease. As a result, most residual disease is found in sites which are both adjacent to the ossicles and hidden from direct view. An ideal instrument should be able to remove disease without movement and should be able to remove disease from regions to which there is no direct access. The laser fullfills this criteria.

Materials and methods: Ears which underwent canal wall-up cholesteatoma surgery without the laser were compared with ears which underwent surgery which included the KTP laser since 1991.

Results: A total of 514 procedures was analysed (313 without laser and 201 with laser). We obtained respectively 83 (26.5%) and 21 (10.4%) residual disease (P < 0.0001). The procedures involving the KTP laser resulted in no cases of facial nerve injury and no cases of total sensorineural hearing loss.

Conclusion: We can conclude that the appropriately use of the KTP laser during cholesteatoma surgery does improve significantly the complete removal of disease and presents no extra risk to the vital structures within the temporal bone.

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来源期刊

B-Ent 医学-耳鼻喉科学

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Throughout its history, the Royal Belgian Society of Oto-rhino-laryngology, Head and Neck Surgery, the home society of B-ENT, aims to disseminate both the scientific and the clinical knowledge of otorhinolaryngology field primarily in Belgium and its regions. In accordance with this aim, publishing a scientific journal has become the number one objective of the Society. Accordingly, B-ENT contributes to the scientific memory of Belgium considering its deep-rooted history.