Chronic middle ear surgery iatrogenic complications.doc

 PAGE \* MERGEFORMAT 11 Chronic middle ear surgery iatrogenic complications Author: Zhao Hailiang Yan Liying Liu Jia Xue Jinmei [Keywords] middle ear and mastoid surgery Middle ear and mastoid surgery in 19 century inception, constantly improve its indications and surgical methods to achieve complete removal of disease, the purpose of re-hearing function. Middle ear and mastoid surgery generally refers to the radical mastoidectomy, modified radical mastoidectomy, middle ear angioplasty and stapes surgery, etc. For experienced ear doctor, a common complication of chronic otitis media surgery, the incidence of less than 1% but the actual figure is higher than this How to prevent and reduce ear milk sudden occurrence of surgical complications, is an important issue facing the otologist. This article focuses on the facial nerve injury, followed by wet ear after operation. 1 Clinical data Since 2004-2008 the line between the middle ear and mastoid surgery, a total of 400 cases including 237 cases of male and female 163 cases, aged 17 to 69 years, duration of 5 months to 40 years, of which 305 cases of purulent secretions blocking the ear Road granulation and polyps in 75 cases, 53 cases of external auditory canal swelling, ear canal bleeding in 9 cases of large perforation of tympanic membrane tension 217 patients with tympanic membrane perforation 121 cases the Ministry of relaxation. to give pure 256 cases of radical mastoidectomy, radical mastoidectomy plus 144 cases of tympanoplasty. The patients confirmed by surgery, the final diagnostic classification as follows: 342 cases of cholesteatoma, granulation tissue within the middle ear in 49 cases, middle ear and mastoid carcinoma in 4 cases, the tympanic tumor sphere in 2 cases, three cases of middle ear tuberculosis . Postoperative complications occurred in 19 cases, the rate was 4.75%, of which the facial nerve injury occurred in 4 cases, lost open fistula in 1 case, quit after the ear in 10 ca