When To Say When-Reasons To Abort Surgery For Congenital Aural Atresia
OTOLOGY & NEUROTOLOGY(2021)
摘要
Objective: To determine reasons for premature termination in surgery for congenital aural atresia (CAA). Study Design: Retrospective chart review. Setting: High-volume tertiary care center. Patients: Patients undergoing primary surgical repair of CAA whose surgeries were aborted for various indications. Intervention: Patients with CAA who underwent elective aural atresia surgery at the University of Virginia from July 2004 to January 2020 were identified from the medical record and an institutional database of patients with CAA. Patients undergoing revision surgery or surgery not for hearing correction were excluded. All included candidates were noted to be good surgical candidates for atresia repair based on preoperative Jahrsdoerfer score of 6 or greater. Reasons for terminating surgery prematurely were categorized by anatomical constraints (inability to identify middle ear space, position of the facial nerve, or other anatomic abnormality), stapes fixation, and middle ear and/or mastoid inflammatory disease. Main Outcome Measures: Reasons for premature termination in CAA surgery. Results: Over the interval, 319 patients underwent primary surgery for CAA. Surgery was terminated prematurely without completing the primary objective in 14 patients (4.4%); surgery was terminated in 8 (57%) due to anatomic constraints, 4 (29%) due to stapes fixation, and 2 (14%) due to middle ear space and/or mastoid inflammatory disease. Conclusions: Premature termination in surgery for CAA is a rare occurrence with careful study of the preoperative high-resolution computed tomography of the temporal bone. Of the reasons for premature termination, anatomic constraints were the most common. Knowing limitations in surgery-both technical and anatomic-is critical to optimize outcomes and prevent complications.
更多查看译文
关键词
Aural atresia, Congenital aural atresia, Craniofacial, ENT, Microtia, Otolaryngology, Treacher-Collins
AI 理解论文
溯源树
样例
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要