山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (3): 27-30.doi: 10.6040/j.issn.1673-3770.1.2019.020

• 专家笔谈 • 上一篇    下一篇

耳内镜微创术——耳科手术的新途径

王登元,陈智斌(),邢光前   

  1. 南京医科大学第一附属医院 江苏省人民医院耳鼻咽喉科；世界卫生组织预防聋和听力减退合作中心；江苏省耳科疾病与听力障碍诊治中心，江苏 南京 210029
  • 收稿日期:2019-04-15 修回日期:2019-05-10 出版日期:2019-05-20 发布日期:2019-08-08
  • 通讯作者: 陈智斌 E-mail:chenzhibin@jsph.org.cn
  • 作者简介:陈智斌，临床医学博士，主任医师，副教授，硕士研究生导师。现任南京医科大学第一附属医院（江苏省人民医院）耳鼻咽喉科副主任，耳科与听力组组长；江苏省耳鼻咽喉科医疗质量控制中心副主任。主要学术任职：中华医学会耳鼻咽喉头颈外科学分会听力学组委员；江苏省医学会耳鼻咽喉头颈外科学分会常委，耳科与听力学组组长；江苏省防聋工作指导组副组长；江苏省残疾人康复协会第二届理事会理事；江苏省康复医学会听力语言康复专业委员会常委。从事耳鼻咽喉头颈外科工作 25年，主攻耳科学与听力学，发表学术论文20余篇。

Minimally invasive otoendoscopic surgery: a new path for ear surgery

Dengyuan WANG,Zhibin CHEN(),Guangqian XING   

  1.  Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University；WHO Collaborating Centre for the Prevention of Deafness and Hearing Impairment；Jiangsu Ear and Hearing Center, Nanjing 210029, Jiangsu, China
  • Received:2019-04-15 Revised:2019-05-10 Online:2019-05-20 Published:2019-08-08
  • Contact: Zhibin CHEN E-mail:chenzhibin@jsph.org.cn

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摘要：

综述了耳内镜外科手术的历史、优点和应用范围,以及存在的不足。与传统的显微镜手术比较，耳内镜具有高清、广角和放大等特点，手术视野更好，医生可经耳道完成更多种手术，避免在耳内或耳后切口，有望减少并发症，获得更好的手术效果。

关键词: 耳内镜, 耳外科手术, 治疗结局

Abstract:

This article reviews the history, advantages and disadvantages, and current applications of otoendoscopic ear surgery. The otoendoscopic approach has unique advantages over the microscopic approach; it allows the surgeon to visualize the surgical site more clearly from multiple angles and at various magnifications, enabling completion of procedures using the transcanal approach, thereby reducing the need for endoauricular or postauricular incisions and avoiding the associated morbidity. Otoendoscopes also reduce the rates of cholesteatoma recidivism in chronic ear surgery. Otoendoscopic ear surgery appears to be a promising new technique and a reliable alternative to traditional microscopic surgery.

Key words: Otoendoscopes, Otologic surgical procedures, Treatment outcome

中图分类号: 

  • R764.9
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