Wang Xinchun, Wang Meng
Department of Otorhinolaryngology, General Hospital of Wuhan University, Wuhan 430060.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2003 Oct;17(10):600-1.
In order to deeply realized the cancer of middle ear, a retrospective analysis of 20 cases was done.
The combined treatment (operation plus radiation) were adopted for all of them. The surgical procedures included sleeve resection for 14 cases, temporal bone resection for 3 cases, subtotal temporal bone resection for 3 cases. There patients with cervical metastases were treated by postoperative radiotherapy.
The survival rates for three years, five years, ten years were 50.0% (11/20), 45.0% (9/20) and 30.1% (6/20), respectively.
Patients of cancer middle ear located mastoid process who were treated by sleeve resection or temporal bone resection were suitable for radiation therapy and clearing the cancer and reducing infection. If the can cer exceeded mastoid process, patients must undergo subtotal temporal bone resection. However, there were dysfunction included hearing, vestibular and facial nerve.
为深入了解中耳癌，对20例患者进行了回顾性分析。
所有患者均采用综合治疗（手术加放疗）。手术方式包括袖状切除术14例，颞骨切除术3例，颞骨次全切除术3例。有颈部转移的患者术后接受放疗。
三年、五年、十年生存率分别为50.0%（11/20）、45.0%（9/20）和30.1%（6/20）。
位于乳突的中耳癌患者，采用袖状切除术或颞骨切除术治疗后适合放疗，以清除癌肿并减少感染。如果癌肿超出乳突，患者必须接受颞骨次全切除术。然而，会出现听力、前庭和面神经功能障碍。
