Wegener's granulomatosis following stapedectomy.
Wegener's granulomatosis following stapedectomy.
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镫骨切除术后韦格纳肉芽肿。
DOI：
10.1001/archotol.1969.00770020828007
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发表时间：
1969
影响因子：
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通讯作者：
N. G. Toremalm
中科院分区：
文献类型：
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作者：
O. Densert;A. Rausing;N. G. Toremalm
中耳肉芽肿的形成作为镫骨切除术的并发症是相对少见的。Harris和韦斯[1]以及Rock发表了一些案例。[2] Kaufmann和Schuknecht最近（1967）又描述了10个病例。所有患者的肉芽肿均为良性组织学表现，且大多出现在术后前6周内。可吸收明胶海绵（Gelfoam）钢丝植入物与脂肪钢丝植入物一样经常导致这种修复性肉芽肿。奇怪的是，主要症状是骨传导听力损失，几乎没有或没有空气传导成分。在再次手术和清洗卵圆窗后，听力恢复。据我们所知，没有病例韦格纳肉芽肿已报告中耳镫骨切除术后。这种疾病的自发首次亮相，局限于中耳，似乎是罕见的，即使这样的地方是适当的，因为
THE formation of granulomas in the middle ear as a complication to stapedectomy is relatively uncommon. Some cases have been published by Harris and Weiss 1 and by Rock. 2 Kaufmann and Schuknecht 3 have recently (1967) described ten more cases. In all of them the granulomas had a benign histological picture and appeared mostly within the first six postoperative weeks. Absorbable gelatin sponge (Gelfoam) wire implants resulted in such reparative granulomas as often as fat-wire implants. The main symptom was curiously enough a bone conduction hearing loss with little or no air conductive component. After reoperation and cleansing of the oval window the hearing was reestablished. As far as we know, no case of Wegener's granulomatosis has been reported in the middle ear following stapedectomy. Also spontaneous debut of this disease, localized to the middle ear, seems to be uncommon even if such a place were appropriate because the