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Date Published: 25/08/2023
Abstract Views: 171
Views pdf: 123
DOI: https://doi.org/10.51298/vmj.v529i1.6239
Issue
Vol. 529 No. 1 (2023)
Section
Các bài báo
How to Cite
Phạm, T. T., Hồ, M. P., & Hồ, L. H. N. (2023). EVALUATION OF THE EFFECTIVENESS OF ENDOSCOPIC SURGERY IN TREATING STAGE-IV ATELECTASIS. Vietnam Medical Journal, 529(1). https://doi.org/10.51298/vmj.v529i1.6239

EVALUATION OF THE EFFECTIVENESS OF ENDOSCOPIC SURGERY IN TREATING STAGE-IV ATELECTASIS

Thanh Thế Phạm1,, Mạnh Phương Hồ, Lê Hoài Nhân Hồ2
1 Can Tho University of Medicine - Pharmacy
2 Can Tho Ear, Nose Throat Hospital

Main Article Content

Abstract

Objectives: (1) Describe the clinical, endoscopic, and audiometry of end-stage atelectasis. (2) Evaluation of the effectiveness of endoscopic surgery through the ear canal in treating atelectasis. Materials and method: Prospective interventional study on 40 patients with stage-IV atelectasis undergoing Functional Micro – Endoscopic Ear Surgery. Results: Stage-IV atelectasis destroyed mainly incus (70%), malleus (17%), combination of incus - stape (13%). Preoperative ABG at 500Hz (48.5dB), 1000Hz (47.8dB) and 2000Hz (49.3dB). ABG 3 months after surgery at 500Hz (26.1dB), 1000Hz (25.5dB) and 2000Hz (24.3dB). Conclusion: (1) Ossicular chain injury in stage-IV atelectasis is mainly incus and stape, which are reconstructed by Y-shape bioceramic prothesis. (2) Diagnostic otoscopy must be considered the gold standard. (3) The value of the ABG index helps to diagnose ossicular chain injury and evaluate the restoration of sound transmission ability of the middle ear. (4) Functional Micro – Endoscopic Ear Surgery has advantages: Thoroughly solve 4 goals for end-stage atelectasis, control niches that hide lesions, minimize ossicular chain damage, non-destructive surgical area. ensuring good drainage.

Article Details

Keywords

: Atelectasis, bioceramic prothesis, tympanoplasty.

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