Publications (2)

  • Yong Tang · Jian-jun Sun · Yang Liu · Yong-sheng Lin
    [Show abstract] [Hide abstract] ABSTRACT: To introduce and evaluate the application of facial recess approach in modified intact-bridge tympanomastoidectomy (IBM) procedures for cholesteatoma otitis media and improve the surgery results and living quality of patients following the operation of tympanomastoidectomy. Sixty-five cases of tympanomastoidectomy for cholesteatoma otitis media followed for more than 3 years between 2000 - 2003 were retrospective analyzed. The long-term results of recurrence and hearing level of IBM were discussed. In total sixty-five ears received modified IBM, there were sixty ears improved hearing level (threshold improved > 10 dB), and the pure-tone average threshold improved by (18.5 +/- 7.3) dB after operation and the dry ear was obtained in 60 cases (95%). With the modified IBM technique, cholesteatoma could be completely and safely removed from the middle ear, and a durable reconstruction of the middle ear with reasonable hearing could be achieved. Therefore, the modified IBM technique was a reasonable choice for the surgical treatment of cholesteatoma otitis media.
    Article · Nov 2008 · Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery
  • Jian-jun Sun · Yang Liu · Yong Tang · Yong-sheng Lin
    [Show abstract] [Hide abstract] ABSTRACT: To study the otologic surgical procedures for cholesteatoma otitis media and improve the surgery results and living quality of patients following the operation of tympanomastoidectomy. Two hundreds and sixty-six cases (269 ears) of tympanomastoidectomy for cholesteatoma otitis media followed up for more than 3 years between 1994 to 2003 were analyzed retrospectively. The long-term results of recurrence and hearing level was discussed on the procedure of canal wall up (CWU), canal wall down (CWD) and modified intact-bridge tympanomastoidectomy (IBM). On the contrast of improved hearing level, there were not significant difference between CWU group and CWD group (F = 3.686, P>0.05), but the results of IBM group was significantly better than others (F = 125.167 and 59.438, P <0.05). On the contrast of duration of getting dry ear, IBM and CWU groups [(5.0 +/- 1.9) weeks and (6.0 +/- 1.6) weeks respectively] were significantly shorter than CWD group [(9.0 +/- 2.8) weeks; F = 56.32 and 30.639, P <0.05]. As the recurrence rate, IBM group and CWD group were significantly lower than CWU group (CWU: 24.6%; CWD: 6.0%; IBM: 7.0%) chi2 = 6.162 and 6.007, P < 0.05). With the modified IBM technique, cholesteatoma could be removed completely and safely from the middle ear and a reasonable reconstruction of middle ear with approved hearing level could be achieved. The surgical procedure usually began with CWU and should be change according to the pathological founding of middle ear during operation. Modified IBM was a valuable choice for the surgical treatment of cholesteatoma otitis media.
    Article · Jul 2007 · Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery