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Dołączył: 21 Lut 2011
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Skąd: England
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 Wysłany: Nie 19:04, 13 Mar 2011 Temat postu: puma ytr efo eorl huw |
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Ossicular chain reconstruction
By (± 10dB) 9 ears; down> lldB who l ear,> 20dB in 2 ears. Namely: listening ear increase of 22, accounting for 64.7 Ning Yu; no change in 9 ears, accounting for 26.5 sun; down 3 ears, accounting for 8.8. Account by jIH surgical, hearing changes: 1. I7 ear hammer stirrup connection operation. Increase 11 ~ 35dB hearing those lllE, has reached the practical level seems to 35dB in 9 ears; no change in 4 ears; down 2 ear, tympanic membrane surgery after reset immediately after hearing a good dressing fill},[link widoczny dla zalogowanych]! II decline, estimated to hammer stirrup dislocation. 2. Anvil Grey twist shift 7 ear surgery. 22 ~ 33dB hearing is willing to enhance the hearing to escape the current practical level 5 4 ears. , L: ear piercing infection 3 years after storm. I fall back to hearing the 25dB 42dB; unchanged l ear, the stapes due to hardening of imprison fixed floor, loose inalienable; Philosophy l after 13 day fully deaf ears. Reasons are not identified. 3. 7 heightening ear stapes surgery. Increase 20 ~ 26dB5 listening ear, the ugly reality of the first 4 pieces 4 ears hearing; no change in 2 ears. 4. Incus long process and stapes surgery 3 ears J scarf forces are the practical level 35dB. But a year after perforation l ear infections,[link widoczny dla zalogowanych], hearing fall back to 48dB. Discussion (a) surgical attention to item 1. The amount of security should be on the lateral wall of Soy: rate group of cases were interrupted or not Ⅻ ossicular chain is fixed to explore the extent to listen to or clear battle hearing ounce bone fixation ∞ lesion, and easy to chisel too much on the drums than the outdoor wall, sweep Weng after the epithelial invagination into the capsular bag 1fJ 『result cholesteatoma formation, so the surgery should be on the drum outside wall Jurassic Zhai. 2. Complete removal of tympanic sclerosis Organization: Pathology of chronic otitis media, ossicular chain fixation are common. Or more of the inflammatory fibroid tissue. Which can be divided into two categories according to their positions: bottom-up effect for a class room incus and / or hammer bone and the top wall, side walls and the facial nerve with a fixed tube, revolves around a fixed out on the more diffuse than incus, removed Kin bones. Can be completely orange solution. Lang set to prevent further drum snapped pouch hung from belt another bone in the shank and the long process of incus stapes j profile strong adhesion, severe lesions were significantly emblem embedded in the mirror to be careful and thorough F Breaking Apart. Make full release. Then select the appropriate surgical construction ossicular rejection. If the ossicular chain intact. Live power saving lamps, pack or w w-I can do a type Ⅱ surgery. (B) the technical operation of infants and efficacy of barium dry ¨ Qian price 1. Faded stirrup connection operation: J attic with fixed quite common. But the process made ranged. Postoperative hearing is not increased, the attic is often the same set. Therefore, as a simple loose. J} 』grasp not only the recurrence of fire l l 【『. The best out of the occasion,[link widoczny dla zalogowanych], the shear ignorance fade bones. To reduce the ossicular chain links, optional hammer offerings connection operation. To remove the handle of the hammer bone have a certain height, stability and tension. Zhang eardrum tendon must Jurassic jumping skills in this micro-surgical operation of an important note. This group of well connected hammer stirrup cases, hearing up to t5dB. Vice versa. Such as the stirrup axis dislocation,[link widoczny dla zalogowanych], heart surgery failed. Compared with incus transposition, a link is to the advantage of step. 2. Incus transposition: Feast quality is good with anvil pruning chip j faded stirrup bone in the bypass system,[link widoczny dla zalogowanych], the key to success lies in good to fine carving incus body, so that appropriate size. Do not cut or too large, near Shenzhen easily detached from the stapes; forward easily and drum ring, cone uplift, facial nerve and promontory tube adhesion (aphids we encounter such cases.) Stapes is firmly connected, until a good ball joint Tang Au, in contact with the malleus handle sudden incus good and organs on the frog is a shallow concave. E on the benefits under the connection. Sichuan chorda tympani nerve to help. Chuan Chuan quiet sea ~ liIJJiIl stumble called plastic blood pregnancy important} 1:. This repair is strong X-link {』water from Pago 7 lack of surgical view, spa San satisfactory. 3. Increasing the height of stapes surgery for a head: the best so faded and Sichuan, Liu Chuan little bit out of a spherical concave sets in the stirrup bone directly on the insects can be rubbed off too much ¨ {; l5 minutes malleus this single surgical arthrodesis. Stable concave, with fewer links is effective. 4. Anvil stapes interrupt, f Ⅱ J Sichuan small piece of land piece of Pier: efficacy rate of 3 cases of paper are very good. (C) of the surgical options to take in: ① Ljr_Ll present situation i} Il; ② Fan concave tympanic sclerosis l dry l ~ 3 years after ear emergence of secretory otitis media, 2 ears healed, 1 ear repeatedly, but the hearing remained at 30dB. 4 I ~ 3 years after ear infection and perforation. because l ear before surgery to stop discharging device 7 8 Ge .21 l: t} t find wrinkle surgery indoor mucous pus. L}】 ear infections are caused by perforation of the drum causes shy, 1Ijj 【eustachian tube obstruction from Quebec II defined the importance of ear infections:. so. surgery request..}: ear; should prevent ear infections after surgery; to maintain good function of the drum tube is still the key to improving long-term effect: the infected I can not control surgery should be considered. (1988, 3 』] 19H income draft 』fd Revised on September 26H)
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