当科における段階的鼓室形成術

  • 寺薗 富朗
    京都第二赤十字病院耳鼻咽喉科・気管食道科
  • 大島 渉
    京都第二赤十字病院耳鼻咽喉科・気管食道科
  • 竹上 永祐
    京都第二赤十字病院耳鼻咽喉科・気管食道科
  • 紀平 晋也
    京都第二赤十字病院耳鼻咽喉科・気管食道科
  • 粂 俊之
    京都第二赤十字病院耳鼻咽喉科・気管食道科
  • 土井 玲子
    京都第二赤十字病院耳鼻咽喉科・気管食道科
  • 日向 誠
    京都第二赤十字病院耳鼻咽喉科・気管食道科

書誌事項

タイトル別名
  • The Evaluation of Planned Staged Tympanoplasty.

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抄録

Planned staged tympanoplasty was designed in 49 ears for 5 years in our department. The two-staged operation was performed in 85% of the 49 cases, but the planned 2nd staged operation was not performed in 15% cases. The indication of planned staged tympanoplasty should be carefully decided because two admissions to hospital for one patient seemed to be diffcult.<BR>The posterior wall in all cases was removed at the 1st stage operation. Reconstraction of the posterior wall or oblitalation of the mastoid cavities were chosen at the 2nd stage operation. In 50% of the cases of chronic suppurative otitis media with cholesteatoma and in 10% of chronic simple suppurative otitis media the planned staged tympanoplasty was performed.<BR>Cholesteatoma was found at the 2nd stage operation in 30% of cases. Hearing level after the 2nd staged operation was same as that at 1st staged operation.

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