胆脂瘤致迷路瘘管伴半规管闭塞的外科治疗
Surgical treatment of labyrinthine fistula caused by cholesteatoma with semicircular canal occlusion.
作者信息
Chen Zhengnong, Wu Yaqin, Shi Haibo, Zhou Huiqun, Wang Jian, Miyoshi Akira, Yin Shankai
机构信息
Department of Otolaryngology, Affiliated Sixth People's Hospital, Shanghai and Otolaryngology Institute, Shanghai Jiao Tong University, Shanghai, China.
出版信息
Acta Otolaryngol. 2010;130(1):75-8. doi: 10.3109/00016480902875083.
CONCLUSION
Semicircular canal occlusion after completely removing cholesteatoma matrix is a safe and effective approach for treatment of labyrinthine fistula.
OBJECTIVE
To investigate the safety and efficacy of semicircular canal occlusion for surgical treatment of labyrinthine fistula caused by cholesteatoma.
PATIENTS AND METHODS
Twenty-two patients with labyrinthine fistula who were treated surgically were enrolled in the study. All patients were treated by completely removing the cholesteatoma matrix followed by semicircular canal occlusion.
RESULTS
With a follow-up of at least 6 months, there was no recurrent cholesteatoma in any of the patients. Vertigo disappeared in all the patients. Most patients presented no hearing detriment and four of them demonstrated hearing improvement. No patient presented with surgery-related deafness postoperatively.
结论
在彻底清除胆脂瘤基质后进行半规管阻塞术是治疗迷路瘘管的一种安全有效的方法。
目的
探讨半规管阻塞术治疗胆脂瘤所致迷路瘘管的安全性和有效性。
患者与方法
本研究纳入22例接受手术治疗的迷路瘘管患者。所有患者均先彻底清除胆脂瘤基质，然后进行半规管阻塞术。
结果
随访至少6个月，所有患者均未出现复发性胆脂瘤。所有患者眩晕均消失。大多数患者听力无损害，其中4例听力改善。术后无患者出现与手术相关的耳聋。
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