当科の鼓室形成術の考え方と手技―術後のQOLを考慮して―

• 阪上 雅史

  兵庫医科大学耳鼻咽喉科

書誌事項

タイトル別名

• Our Strategy of Tympanoplasty for Better Patient QOL after Surgery
• トウ カ ノ コシツケイセイジュツ ノ カンガエカタ ト シュギ : ジュツゴ ノ QOL オ コウリョ シテ

抄録

We have recently taken patient postoperative QOL into consideration together with hearing outcomes and the cholesteatoma recurrence rate, and would like to introduce our strategy for better postoperative QOL in this review.<br> 1. It is not necessary to shave hair behind the ear.<br> 2. It is recommended to remove packing in the ear canal a few weeks postoperatively and to keep the ear canal free of gauze.<br> 3. The first surgical option for chronic perforated otitis media is a simple underlay myringoplasty with fibrin glue.<br> 4. It is not necessary to perform mastoidectomy in patients with chronic perforated otitis media.<br> 5. Simple surgical methods for primary cholesteatoma are desirable to prepare for recurrence of cholesteatoma.<br> 6. Planned canal wall up method and atticotomy/scutumplasty are recommended for busy businessmen with attic cholesteatoma in order to achieve a dry ear canal quickly and reduce the incidence of postoperative visits to an outpatient clinic.<br> 7. After the CO₂ laser was introduced into stapes surgery in my department to cut the posterior and/or anterior crus, stapedotomies have been easily performed and patients have rarely complained of vertigo or dizziness postoperatively.<br>

収録刊行物

• 耳鼻咽喉科臨床

  耳鼻咽喉科臨床 105 (11), 1013-1021, 2012

  耳鼻咽喉科臨床学会

キーワード

• tympanoplasty
• postoperative QOL
• cholesteatoma
• chronic otitis media
• canal wall up method

詳細情報

• CRID: 1390282679250113920
• NII論文ID: 10031128262
• NII書誌ID: AN00107089
• DOI: 10.5631/jibirin.105.1013
• ISSN: 18844545
• ISSN: 00326313
• NDL書誌ID: 024065080
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I024065080
• Web Site: https://search.jamas.or.jp/link/ui/2013028759
• 本文言語コード: en
• データソース種別:
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  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可