Stomatologiya va kraniofasial tadqiqotlar jurnali №2 2024.pdf
Maqola mavzusi
OUR EXPERIENCE IN SURGICAL TREATMENT IN CONGENITAL ATRESIA OF THE EXTERNAL AUDIO CANAL WITH COMBINED PATHOLOGIES OF THE MIDDLE EAR (34-38)
Mualliflar
Gulyamov Sherzod Bakhramdjanovich, Karabaev Khurram Esankulovich, Khamrokulova Nargiza Orzuevna
Muassasa
National Children Medical Center
Annotatsiya
Over the past 8 months, 34 patients with congenital atresia of the external auditory canal with combined pathology of the middle ear underwent 34 primary operations with an anterior approach. The follow-up period varied up to 8 months. Hearing results were found in 32 (94.1%) patients with conductive hearing loss with a KVI of 35 dB, in 2 patients a hearing loss of a mixed type was detected and the KVI was 30 dB (5.9%). There were no cases of facial nerve injury or sensorineural hearing loss. Facial nerve monitoring was used. Hearing improvement results have been achieved with patients' intact bones or prostheses. Careful soft tissue technique with split grafts covering all exposed bone. Is the key to preventing stenosis. Proper orientation and soft tissue technique are key to successful correction of congenital ear canal ateresis.
Kalit so'zlar
congenital atresia of the external auditory canal, meatoplasty, ossiculoplasty, tympanoplasty
Adabiyotlar
1. Georgakopoulos B, Zafar Gondal A. Embryology, Ear Congenital Malformations. [Updated 2021 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan, Ma, X., Xie, F., Zhang, C., Xu, J., Lu, J., & Teng, L. (2019). Correlation Between Mandible and External Ear in Patients with Treacher-Collins Syndrome. Journal of Craniofacial Surgery, 30(4), 975–979; 2. Kösling, S., Omenzetter, M., & Bartel-Friedrich, S. (2009). Congenital malformations of the external and middle ear. European Journal of Radiology, 69(2), 269–279; 3. Weerda H. Chirurgie der Ohrmuschel. Verletzungen, Defekte und Anomalien. Stuttgart: Thieme; 2004. S. 105-226; 4. Swartz JD, Faerber EN. Congenital malformations of the external and middle ear: high-resolution CT findings of surgical import. AJR. 1985;144:501-6; 5. Thorn L. Entwicklung des Ohres (einschlieЯlich Entstehung von Missbildungen, experimentelle Embryologie und In-vitro- Studien). In: Helms J, Hrsg. Oto-Rhino-Laryngologie in Klinik und Praxis. Bd. 1. Stuttgart: Thieme; 1994. S. 1-22; 6. Luquetti DV, Heike CL, Hing AV, Cunningham ML, Cox TC. Microtia: epidemiology and genetics. Am J Med Genet A 2012;158A(1): 124–139; 7. Service GJ, Roberson JB Jr. Current concepts in repair of aural atresia. Curr Opin Otolaryngol Head Neck Surg 2010;18(6):536–8; 8. Kesser B, Jahrsdoerfer R. Surgery for congenital aural atresia. In: Julianna Gulya A, Minor L, Poe D, editors. Surgery of the ear. 6th edition. Shelton (CT): People’s Medical Publishing House; 2010. p. 413–22; 9. Schloss MD. Congenital anomalies of the external auditory canal and the middle ear. Surgical management. In: Tewfik TL, Der Kaloustian VM, editors. Congenital anomalies of the ear, nose, and throat. New York: Oxford University Press; 1997. p. 119-2;