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【medical-news】内耳容积研究带来更高的外科手术成功率

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rong_rong2009

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Inner-ear Volume Study Leads To Higher Surgery Success Rates
Main Category: Ear, Nose and Throat News
Article Date: 03 Mar 2007 - 0:00 PST

Children suffering from holes in their eardrums could have better success rates following surgery, thanks to findings from doctors at West Virginia University.

The study was published in the February, 2007 issue of Otolaryngology Head and Neck Surgery, the official journal of the American Academy of Otolaryngology-Head and Neck Surgery Foundation. Conducted by doctors in the Department of Otolaryngology, the study measured success rates of patching eardrum holes based on volume or space measurements in the ear.

Holes result from either injury or prior ear problems, such as ear tubes. Perforated eardrums can predispose the ear to infection or result in hearing loss.

"Until this study, there were no clear guidelines as to when kids should have surgery to patch the holes," Hassan Ramadan, M.D., principal investigator on the study, said. Dr. Ramadan is the vice-chair of the Department of Otolaryngology at WVU and director of the Sinus Center.

He and his co-investigators, Daniel Merenda, M.D.; Kazunari Koike, M.D. and Majid Shafiei have published findings that use a common test involving an audiologist's probe tool, called a tympanometry, to measure the volume of ear space.

The doctors found that having higher tympanogram volumes could result in a nearly 90 percent success rate for patching the perforation.

The typmanometry probe is commonly used by ear specialists and consists of a loudspeaker emitting a low frequency tone, a microphone measuring sound pressure levels in the ear canal and a manometer, that also measures pressure.

Patients whose volume does not meet doctors' measurement specifications should wait to have an ear operation. Dr. Ramadan warns that patching too early can either lead to a fluid build up or not fully close the hole.

"Prior to this research, doctors typically looked at age and the child's history of infections to decide when to patch," Dr. Ramadan said. "Our research proves that testing inner ear volumes allows specialists to be more scientific and accurate in their decisions of whether to operate."

West Virginia University Health Sciences Center
PO Box 9083
Morgantown, WV 26506-9083
United States
http://www.hsc.wvu.edu/

补充背景资料：

1. Inner-ear ：the essential part of the vertebrate organ of hearing and equilibrium that typically is located in the temporal bone, is innervated by the auditory nerve, and includes the vestibule, the semicircular canals, and the cochlea -- called also internal ear.
2. eardrum：tympanic membrane，a thin membrane separating the middle ear from the inner part of the external auditory canal that vibrates in response to sound energy and transmits the resulting mechanical vibrations to the structures of the middle ear -- called also eardrum, tympanum.
3. Hassan Ramadan：Dr. Ramadan is a board certified otolaryngologist who has subspecialty expertise in pediatric otolaryngology, which includes ear, nose, and throat diseases in children as well as expertise in nasal and sinus diseases. He has extensive experience in endoscopic sinus surgery and is the director of the WVU Sinus Center. He holds memberships in several regional, national and international medical societies and has presented talks at many national and international meetings. He has over fifty publications in referred medical journals.
Dr. Ramadan attended medical school at the American University of Beirut. He traveled to the United States in 1986 where he completed postgraduate training at Harvard Medical School in Boston and Lenox Hill Hospital in New York City. In the summer of 1990, Dr. Ramadan joined the Department of Otolaryngology at West Virginia University. He is currently Professor and Vice Chairman in the Department of Otolaryngology and has a joint appointment as Professor in the Department of Pediatrics. He is a fellow of the American Academy of Otolaryngology/Head & Neck Surgery, the American Rhinologic Society, and the American College of Surgeons.

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Inner-ear Volume Study Leads To Higher Surgery Success Rates
内耳容积研究带来更高的外科手术成功率

Main Category: Ear, Nose and Throat News
主要类别：耳鼻咽喉新闻
Article Date: 03 Mar 2007 - 0:00 PST
文章出版日期：2007年3月3日0：00

Children suffering from holes in their eardrums could have better success rates following surgery, thanks to findings from doctors at West Virginia University.
患有鼓膜穿孔的儿童在下述外科手术中获得更高的成功率，这全得益于西部弗吉尼亚大学医师的研究发现。
The study was published in the February, 2007 issue of Otolaryngology Head and Neck Surgery, the official journal of the American Academy of Otolaryngology-Head and Neck Surgery Foundation.
这项研究结果发表在美国耳鼻咽喉头颈外科基金学会的官方杂志――《耳鼻咽喉头颈外科杂志》2007年2月刊上。
Conducted by doctors in the Department of Otolaryngology, the study measured success rates of patching eardrum holes based on volume or space measurements in the ear.
这项研究是由耳鼻咽喉科医师领导的。该研究测量以内耳容积或空间测量结果为基础的耳膜穿孔修补的成功率。
Holes result from either injury or prior ear problems, such as ear tubes.
外伤或耳部先前的疾病（比如耳道）结果导致耳膜穿孔。
Perforated eardrums can predispose the ear to infection or result in hearing loss.
耳膜穿孔使耳部易于感染或导致听力丧失。
"Until this study, there were no clear guidelines as to when kids should have surgery to patch the holes," Hassan Ramadan, M.D., principal investigator on the study, said.
Hassan Ramadan医学博士是这项研究的主要研究人员。他说：“直到进行这项研究时，什么时候该给孩子进行外科手术来修补耳膜穿孔才有了明确的指导方针。”
Dr. Ramadan is the vice-chair of the Department of Otolaryngology at WVU and director of the Sinus Center.
Ramadan博士是西弗吉尼亚大学耳鼻咽喉科的副主席鼻窦中心的主任。
He and his co-investigators, Daniel Merenda, M.D.; Kazunari Koike, M.D. and Majid Shafiei have published findings that use a common test involving an audiologist's probe tool, called a tympanometry, to measure the volume of ear space.
他和他的合作研究者Daniel Merenda医学博士、Kazunari Koike医学博士以及Majid Shafiei已经发表了他们的研究发现。他们用鼓室压测量法（一种听力学家探针工具）等普通测试来测量耳部空间容积。
The doctors found that having higher tympanogram volumes could result in a nearly 90 percent success rate for patching the perforation.
医师们发现鼓室导抗图容积较高的患儿的耳膜穿孔修补成功率近90％。
The typmanometry probe is commonly used by ear specialists and consists of a loudspeaker emitting a low frequency tone, a microphone measuring sound pressure levels in the ear canal and a manometer, that also measures pressure.
耳科专家经常使用这种鼓室测量方法。声导抗测量仪由一个发射低频音的扬声器、一个测量内耳道声压级的麦克风和一个也用来测量压力的测压计组成。
Patients whose volume does not meet doctors' measurement specifications should wait to have an ear operation.
患者的内耳容积不符合医师的测量规范则其耳部手术将延期。
Dr. Ramadan warns that patching too early can either lead to a fluid build up or not fully close the hole.
Ramadan博士警告：过早修补耳膜能导致积液或穿孔不能全部闭合。
"Prior to this research, doctors typically looked at age and the child's history of infections to decide when to patch," Dr. Ramadan said.
Ramadan说：“在这项研究之前，医生们根据患儿的年龄和患儿的感染病史特征来决定修补鼓膜的时机。”
"Our research proves that testing inner ear volumes allows specialists to be more scientific and accurate in their decisions of whether to operate."
“我们的研究证明：测量内耳容积使专家们对手术时机的判断更为科学准确。”

West Virginia University Health Sciences Center
西弗吉尼亚大学健康科学中心

PO Box 9083

Morgantown, WV 26506-9083
美国西弗吉尼亚州邮递区号26506－9083，摩根敦邮箱9083
United States
美国
http://www.hsc.wvu.edu/
网址为：http://www.hsc.wvu.edu/

补充背景资料：

1. Inner-ear ：the essential part of the vertebrate organ of hearing and equilibrium that typically is located in the temporal bone, is innervated by the auditory nerve, and includes the vestibule, the semicircular canals, and the cochlea -- called also internal ear.
1.内耳：内耳是脊椎动物重要的听觉和平衡器官。它位于颞骨内，由听神经支配。内耳包括前庭、半规管和耳蜗。

2. eardrum：tympanic membrane，a thin membrane separating the middle ear from the inner part of the external auditory canal that vibrates in response to sound energy and transmits the resulting mechanical vibrations to the structures of the middle ear -- called also eardrum, tympanum.
2.鼓膜：鼓膜是分隔中耳和外听道内部的一层薄膜。鼓膜受到声刺激后能将声能量转化为自身振动并将这种机械振动传送到中耳结构。

3. Hassan Ramadan：Dr. Ramadan is a board certified otolaryngologist who has subspecialty expertise in pediatric otolaryngology, which includes ear, nose, and throat diseases in children as well as expertise in nasal and sinus diseases.
3.Hassan Ramadan博士是一位广泛公认的耳鼻喉科学家。他专长于小儿耳鼻咽喉科学（包括：儿童耳、鼻、咽喉疾病和）和鼻窦疾病专业知识。
He has extensive experience in endoscopic sinus surgery and is the director of the WVU Sinus Center. He holds memberships in several regional, national and international medical societies and has presented talks at many national and international meetings. He has over fifty publications in referred medical journals.
他是西弗吉尼亚大学鼻窦中心的主任，他拥有广泛的鼻窦内窥镜外科经验。他是几个地区、国家以及国际医学会的会员并曾在许多国家和国际会议上发表演说报告。他已在相关专业杂志发表了50多篇文章。
Dr. Ramadan attended medical school at the American University of Beirut. He traveled to the United States in 1986 where he completed postgraduate training at Harvard Medical School in Boston and Lenox Hill Hospital in New York City.
Ramadan博士是在美国贝鲁特大学进入医学院的。1986年他旅居美国纽约，并在哈佛医学院波士顿和雷诺山医院完成了研究生培养训练。
In the summer of 1990, Dr. Ramadan joined the Department of Otolaryngology at West Virginia University. He is currently Professor and Vice Chairman in the Department of Otolaryngology and has a joint appointment as Professor in the Department of Pediatrics. He is a fellow of the American Academy of Otolaryngology/Head & Neck Surgery, the American Rhinologic Society, and the American College of Surgeons.
1990年夏天，Ramadan博士加入西弗吉尼亚大学耳鼻咽喉科。他现在是耳鼻咽喉科教授和副主席。他还是这个部门与小儿科关联的主要教授。他是美国耳鼻咽喉头颈外科学会、美国鼻科学会和美国外科学会的成员。

2007-03-05 08:34

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• 月薪从6500降到3000元的医学定向生，后来怎么样了？

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新闻来源：http://www.medicalnewstoday.com/medicalnews.php?newsid=64395

编译投稿：
（1053字）

内耳容积研究带来更高的外科手术成功率

主要类别：耳鼻咽喉新闻
文章出版日期：2007年3月3日0：00

患有鼓膜穿孔的儿童在下述外科手术中获得更高的成功率，这全得益于西部弗吉尼亚大学医师的研究发现。
这项研究结果发表在美国耳鼻咽喉头颈外科基金学会的官方杂志――《耳鼻咽喉头颈外科杂志》2007年2月刊上。
这项研究是由耳鼻咽喉科医师领导的。该研究测量以内耳容积或空间测量结果为基础的耳膜穿孔修补的成功率。外伤或耳部先前的疾病（比如耳道）结果导致耳膜穿孔。耳膜穿孔使耳部易于感染或导致听力丧失。
Hassan Ramadan医学博士是这项研究的主要研究人员。他说：“直到进行这项研究时，什么时候该给孩子进行外科手术来修补耳膜穿孔才有了明确的指导方针。”
Ramadan博士是西弗吉尼亚大学耳鼻咽喉科的副主席鼻窦中心的主任。他和他的合作研究者Daniel Merenda医学博士、Kazunari Koike医学博士以及Majid Shafiei已经发表了他们的研究发现。他们用鼓室压测量法（一种听力学家探针工具）等普通测试来测量耳部空间容积。医师们发现鼓室导抗图容积较高的患儿的耳膜穿孔修补成功率近90％。耳科专家经常使用这种鼓室测量方法。声导抗测量仪由一个发射低频音的扬声器、一个测量内耳道声压级的麦克风和一个也用来测量压力的测压计组成。患者的内耳容积不符合医师的测量规范则其耳部手术将延期。Ramadan博士警告：过早修补耳膜能导致积液或穿孔不能全部闭合。
Ramadan说：“在这项研究之前，医生们根据患儿的年龄和患儿的感染病史特征来决定修补鼓膜的时机。”
“我们的研究证明：测量内耳容积使专家们对手术时机的判断更为科学准确。”

西弗吉尼亚大学健康科学中心
美国西弗吉尼亚州邮递区号26506－9083，摩根敦邮箱9083
美国
网址为：http://www.hsc.wvu.edu/

补充背景资料：

1.内耳：内耳是脊椎动物重要的听觉和平衡器官。它位于颞骨内，由听神经支配。内耳包括前庭、半规管和耳蜗。

2.鼓膜：鼓膜是分隔中耳和外听道内部的一层薄膜。鼓膜受到声刺激后能将声能量转化为自身振动并将这种机械振动传送到中耳结构。

3.Hassan Ramadan博士是一位广泛公认的耳鼻喉科学家。他专长于小儿耳鼻咽喉科学（包括：儿童耳、鼻、咽喉疾病和）和鼻窦疾病专业知识。他是西弗吉尼亚大学鼻窦中心的主任，他拥有广泛的鼻窦内窥镜外科经验。他是几个地区、国家以及国际医学会的会员并曾在许多国家和国际会议上发表演说报告。他已在相关专业杂志发表了50多篇文章。Ramadan博士是在美国贝鲁特大学进入医学院的。1986年他旅居美国纽约，并在哈佛医学院波士顿和雷诺山医院完成了研究生培养训练。1990年夏天，Ramadan博士加入西弗吉尼亚大学耳鼻咽喉科。他现在是耳鼻咽喉科教授和副主席。他还是这个部门与小儿科关联的主要教授。他是美国耳鼻咽喉头颈外科学会、美国鼻科学会和美国外科学会的成员。

2007-03-05 08:35

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rong_rong2009 编辑于 2007-03-05 08:38

• 湖北知名企业家海南博鳌医院术后致脑死亡病例"张冠李戴" 家属质疑术后不及时干预

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最后这个地址不知译得准确否？

2007-03-06 00:50

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• 严家新：决定新发病原体成败最关键的第一步

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