中文摘要：

早在2006年中国学者就提出“精准外科”理念,即以准确判断、精细计划、最小创伤、寻求最佳效果为目标的精准外科治疗。精准外科理念已广泛渗透到肝胆外科、神经外科、妇产科、小儿外科、介入科、耳鼻喉科等领域,推动着传统经验外科向现代精准外科模式的转变。相对于传统中耳外科而言,精准中耳外科的特征主要体现在术前精确评估病情、精细手术规划与模拟、彻底清除病灶、最小创伤侵袭和达到中耳功能最佳康复效果,理应成为现代中耳外科的主要模式与发展方向;特别是激光多普勒测振技术及电生理测听技术在中耳手术中的应用探索,必将促进中耳外科向精准化方向不断发展与演进。本文概述“精准中耳外科”理念的演进,着重讨论术前中耳结构与功能的精确评估、听觉重建术中实时听觉功能精确评估等技术在“精准中耳外科”中的应用,并对“精准中耳外科”的前景加以展望。（中国眼耳鼻喉科杂志,2016,16：231-233）

英文摘要：

Precision surgery has been put forward since 2006, which promotes surgical practice changing from traditional extensive pattern to modern precise pattern. Based on a series of studies and practices, the authors advocated the concept of precision middle ear surgery. The strategy of precision middle ear surgery is to seek a balance of maximizing the clearance of focal lesion, maximizing the auditory function rehabilitation and minimizing surgical invasion. An overview was made on the development of precision middle ear surgery and the application of laser Doppler vibrometry and hearing monitoring in precise preoperative and intraoperative auditory function evaluation during ossicular reconstruction and vibroplasty. Finally, prospect of precision middle ear surgery was illustrated.