Tabchi B, Rassi S, Elias R, Haddad A, Nehme P, el Rassi B
Service ORL, Hôtel-Dieu de France, Rue Alfred Naccache, Beyrouth, Liban.
J Med Liban. 2000 May-Jun;48(3):152-6.
Chronic suppurative otitis media (CSOM) is a common disease especially in developing countries. In Lebanon, CSOM is a frequent complaint. This retrospective study is an objective evaluation of the cases we operated in HDF.
One hundred and forty cases of CSOM were collected between 1993 and 1997: 88/140 cases were simple CSOM and the others 52/140 cases had cholesteatomas.
There were no immediate postoperative complications reported (< 6 weeks). Beyond 6 weeks, with a mean follow-up of 20 months, 15% of the patients were lost for follow-up and we had 93.4% of success rate in CSOM and 88% in cholesteatomas. The recurrence rate of cholesteatoma was 14%. Children's cholesteatoma (below 15 years of age) were more aggressive than adult's cholesteatomas. In CSOM without cholesteatoma, the hearing gain was 5 dB. In CSOM with cholesteatoma the mean hearing gain was 4 dB. In conclusion the study revealed the importance of this pathology in our country with the relative high incidence of cholesteatoma compared to simple CSOM, this could be explained by the chronicity of the disease and the lack of preventive measures.
慢性化脓性中耳炎（CSOM）是一种常见疾病，尤其在发展中国家。在黎巴嫩，CSOM是一种常见的病症。本回顾性研究旨在对我们在HDF进行手术的病例进行客观评估。
收集了1993年至1997年间的140例CSOM病例：140例中有88例为单纯性CSOM，其余52例有胆脂瘤。
术后立即（<6周）未报告并发症。6周后，平均随访20个月，15%的患者失访，CSOM的成功率为93.4%，胆脂瘤的成功率为88%。胆脂瘤的复发率为14%。儿童胆脂瘤（15岁以下）比成人胆脂瘤更具侵袭性。在无胆脂瘤的CSOM中，听力增益为5dB。在有胆脂瘤的CSOM中，平均听力增益为4dB。总之，该研究揭示了这种病理状况在我国的重要性，与单纯性CSOM相比，胆脂瘤的发病率相对较高，这可能是由于疾病的慢性化和缺乏预防措施所致。
