Zanini Fábio D, Ameno Everton S, Magaldi Sidney O, Lamar Ruben A
Hospital Regional de São José Homero de Miranda Gomes, São José, SC.
Braz J Otorhinolaryngol. 2005 Jan-Feb;71(1):91-3. doi: 10.1016/s1808-8694(15)31291-x. Epub 2006 Jan 2.
The authors present a case of cholesteatoma of external auditory canal (CEAC) with extensive invasion of mastoid; ossicle chain and tympanic membrane remained intact. The only symptom was chronic otorrhea. Diagnosis was based on clinical elements and CT scan was used to measure pathology and program surgery. Treatment was modified radical mastoidectomy associated with meatoplasty. Due to the insidious character of CEAC and the proximity with important structures of the external auditory canal, it must be always considered in differential diagnosis for lesions of external auditory canal. This case report intended to review clinical and surgical aspects of treatment of CEAC and present our approach in a case with severe lesions.
作者报告了1例外耳道胆脂瘤(CEAC)广泛侵犯乳突的病例;听骨链和鼓膜保持完整。唯一的症状是慢性耳漏。诊断基于临床症状,CT扫描用于评估病变情况并规划手术方案。治疗采用改良根治性乳突切除术联合外耳道成形术。由于CEAC具有隐匿性且靠近外耳道的重要结构,在诊断外耳道病变时必须始终将其纳入鉴别诊断。本病例报告旨在回顾CEAC治疗的临床和手术方面,并介绍我们对1例严重病变病例的处理方法。