37 cases of radical mastoidectomy ear can not do cause analysis and preventive measures.docVIP

 PAGE \* MERGEFORMAT 14 37 cases of radical mastoidectomy ear can not do cause analysis and preventive measures 【Abstract】 Objective To investigate the radical mastoidectomy ear can not do the causes and preventive measures. Methods The subjects were treated from 1990 to 2005 of 37 cases of radical mastoidectomy can not do ear mastoid surgical findings in patients with re-analysis of parallel second (or three or four) Radical mastoidectomy. Results 1 to 3 months in patients with previous symptoms, dry ear. Conclusion radical mastoidectomy failed mainly due to middle ear and mastoid surgery were not familiar with anatomy, basic, but hard, lack of clinical experience led to lesions residues, poor drainage and mastoid tip opening due to inadequate and in some special cases. Completely remove the lesion surgery to ensure smooth drainage and special circumstances after the treatment is to prevent the second operation key. Keywords: radical mastoidectomy; preventive measures Causes of failure of 37 patients treated with revision mastoidectomy and precautions CHEN Bing.Yibin Second People’s Hospital, Yibin 644000, China [Abstract] Objective To explore the failure causes of mastoidectomy and precautions.Methods The operation findings of 37 cases who underwent revision mastoidectomy from 1995 to 2005 were analyzed for causes of the primary procedures and revision mastoidectomy failure.Results Original symptoms disappeared.All cases achieved a dry ear after mastoidectomy 1 ~ 3 months.Conclusion Causes of failure of mastoidectomy include unfamiliarity with regional anatomy, absence of skill of surgeons, unadequate opening of mastoidale, and clinical experiences.Each of these can result in residual lesion and inadequate drainage.Some exceptions can also result in reoperation.To resect the pathological changes tissue thoroughly, to remain good drainage after operation, to manage some execptions are keys to prevent reoperation. [Ke