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후천성 외이도 협착의 혁신적 수술법: 후외이도 피질골 확장과 전방 기반 골막 재건

Wide Cortical Drilling and Anterior-Based Periosteal Flap Reconstruction: Innovative Approach for Acquired Stenosis of External Auditory Canal

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참고문헌

키워드

주제분류이비인후과학

초록

In patients with acquired stenosis of external auditory canal, traditional canaloplasty surgeryusing skin graft may be performed when symptoms are severe or persistent. However, the riskof restenosis during follow-up period remains a main concern for surgeons. Herein, we pres-ent a novel surgical technique using wide cortical bone drilling and reconstruction using theanterior-based periosteal flap. We also report the preliminary results of case series using thissurgical technique comparing it with the traditional method.

Abstract

In patients with acquired stenosis of external auditory canal, traditional canaloplasty surgeryusing skin graft may be performed when symptoms are severe or persistent. However, the riskof restenosis during follow-up period remains a main concern for surgeons. Herein, we pres-ent a novel surgical technique using wide cortical bone drilling and reconstruction using theanterior-based periosteal flap. We also report the preliminary results of case series using thissurgical technique comparing it with the traditional method.

참고문헌 (9)

  1. Schwarz D, "Acquired stenosis of the external auditory canal-long-term results and patient satisfaction", Acta Otolaryngol, 138(9), pp.790~794 (2018)
  2. Kmeid M, "Post-inflammatory acquired atresia of the external auditory canal", J Otol, 14(4), pp.149~154 (2019)
  3. Pace A, "Thiersch graft follow-up with narrow band imaging for acquired atresia of the external auditory canal : canaloplasty with Thiersch graft versus vascularization evaluated with narrow band imaging", Bosn J Basic Med Sci, 22(5), pp.798~802 (2022)
  4. Paparella MM, "Surgical treatment for chronic stenosing external otitis. (Including finding of unusual canal tumor)", Laryngoscope, 76(2), pp.232~245 (1966)
  5. Dhooge I, "Acquired atresia of the external auditory canal : long-term clinical and audiometric results after surgery", Otol Neurotol, 35(7), pp.1196~1200 (2014)
  6. Tos M, "Postinflammatory acquired atresia of the external auditory canal : late results of surgery", Am J Otol, 7(5), pp.365~370 (1986)
  7. Magliulo G, "Acquired atresia of the external auditory canal : recurrence and long-term results", Ann Otol Rhinol Laryngol, 118(5), pp.345~349 (2009)
  8. Moon IJ, "Longterm stent use can prevent postoperative canal stenosis in patients with congenital aural atresia", Otolaryngol Head Neck Surg, 146(4), pp.614~620 (2012)
  9. Stultiens JJA, "Hearing results of surgery for acquired atresia of the external auditory canal", Otol Neurotol, 40(5S Suppl 1), pp.S43~S50 (2019)

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