Bobin S, Le Pajolec C, Mohcini M, Harboun-Cohen E
Service ORL, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Ann Otolaryngol Chir Cervicofac. 1992;109(6):307-10.
An open operative technique was used in 36 (38%) of 95 patients with chronic cholesteatomatous otitis followed up by the same surgeon between 1986 and 1990. Although a good anatomical result was obtained in 88% of cases the functional result was less evident, since 57% of patients were left with a liminal tonal loss of less than 30 décibels. The reasons for using an open technique are analyzed, but in only 5% of cases could the possibility of using a closed technique be envisaged, making the classical discussion between open and closed methods of treatments of only academic interest. Petromastoidian evidement with reorganization of the cavity is considered to be effective therapy for cholesteatoma, but indications and technical procedures must be adhered to strictly.
1986年至1990年间，同一位外科医生对95例慢性胆脂瘤型中耳炎患者进行了随访，其中36例（38%）采用了开放式手术技术。尽管88%的病例获得了良好的解剖学效果，但功能效果不太明显，因为57%的患者遗留有小于30分贝的阈下音调损失。分析了采用开放式技术的原因，但仅5%的病例可设想采用封闭式技术的可能性，这使得开放式和封闭式治疗方法之间的经典讨论仅具有学术意义。岩乳突腔扩大并重建被认为是治疗胆脂瘤的有效方法，但必须严格遵循适应证和技术操作步骤。
