复发性及残留性胆脂瘤的手术治疗

Surgery for recurrent and residual cholesteatoma.

作者信息

Weiss M H, Parisier S C, Han J C, Edelstein D R

机构信息

Department of Otolaryngology, Manhattan Eye, Ear, and Throat Hospital, New York 10021.

出版信息

Laryngoscope. 1992 Feb;102(2):145-51. doi: 10.1288/00005537-199202000-00008.

DOI:10.1288/00005537-199202000-00008

PMID:1738286

Abstract

One hundred twelve patients (116 ears) were treated for recurrent and residual cholesteatoma. A retrospective review revealed that 66% had undergone canal wall down mastoidectomy at the previous surgery. The surgical procedure at revision was selected on the basis of an intraoperative assessment of the extent of disease, and clinical prediction of eustachian tube function. The average period of follow-up was 3.4 years. Revision surgery was successful in providing the patient with a safe, dry ear in 105 (91%) of 116 cases. Surgical principles and hearing results are presented.

摘要

112例患者（116耳）接受了复发性和残留性胆脂瘤的治疗。一项回顾性研究显示，66%的患者在前一次手术中接受了开放式乳突根治术。翻修手术的术式是根据术中对病变范围的评估以及对咽鼓管功能的临床预测来选择的。平均随访时间为3.4年。在116例患者中，105例（91%）的翻修手术成功地为患者提供了安全、干耳的效果。文中介绍了手术原则和听力结果。