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[婴儿胆脂瘤]

[Infantile cholesteatoma].

作者信息

Giménez Vaíllo F, Marco Algarra J, Armengot Carceller M, Ruiz Franco M, Mallea Cañizares I

机构信息

Hospital Clínico Universitario, Valencia.

出版信息

Acta Otorrinolaringol Esp. 1990 Jul-Aug;41(4):217-21.

PMID:2268460
Abstract

We present the results obtained in a group of 52 patients (55 ears), 15 years old or younger, diagnosed with middle ear cholesteatoma. After the evaluation of their clinical records, audiometry and X ray, surgery was performed by means of canal wall up procedures in 40 ears (72%) and canal wall down procedures in 15 (27%). The cholesteatoma was eradicated in 62% of the first group and in 86% of the second one. In 17 patients there was a recurrence. In those cases of canal wall up procedures they were transformed in canal wall down, or in the canal wall down the cavity was cleaned up. Only in 2 of these 17 recurrences, there was a second recurrence. In 7 cases a tympanoplasty was performed and the audiometric GAP was reduced in 57% and only in 19% when tympanoplasty wasn't performed.

摘要

我们展示了在一组52例15岁及以下被诊断为中耳胆脂瘤的患者(55耳)中获得的结果。在评估他们的临床记录、听力测定和X线检查后,40耳(72%)通过外耳道上壁手术进行了手术,15耳(27%)通过外耳道下壁手术进行了手术。第一组中62%的胆脂瘤被根除,第二组中86%的胆脂瘤被根除。17例患者出现复发。在外耳道上壁手术的病例中,它们转变为外耳道下壁手术,或者在外耳道下壁手术中清理了腔隙。在这17例复发中,只有2例出现了二次复发。7例进行了鼓室成形术,进行鼓室成形术时听力差距降低了57%,未进行鼓室成形术时仅降低了19%。

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