[上鼓室切开术联合鼓室成形术治疗局限性上鼓室胆脂瘤]
[Atticotomy with canaloplasty and tympanoplasty for limited epitympanic cholesteatoma].
作者信息
Deng Yi, Xing Fenli, Wu Yuanqing, Chu Ting, Chen Rongrong, Chen Ergong, Fan Xianchao
机构信息
Department of Otolaryngology, Nanjing Medical University Affiliated Nanjing First Hospital, Nanjing, 210006, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Aug;26(16):727-8, 732.
OBJECTIVE
To observe the surgical results of atticotomy with canalopalsty and tympanoplasty for limited cholesteatoma.
METHOD
Thirty-one cases of limited epitympanic cholesteatoma and retraction pocket received atticotomy. The surgical procedure consisted of eliminating cholesteatoma and pocket, reconstructing lateral epitympanic wall and tympanoplasty with cartilage/perichondrium island flap.
RESULT
The anatomic pattern of external ear canal appeared near normal, and the hearing level improved or remained normal during 2-year follow up except for 2 cases with tympanosclerosis. No epitympanic retraction pocket or cholesteatoma relapsed. 1 case appeared tympanic perforation.
CONCLUSION
Atticotomy, contemporaneous reconstruction of lateral epitympanic wall and tympanoplasty with cartilage/perichondrium, indicated to be a reliable treatment and prevention technique for epitympanic cholesteatoma. It can achieve good morphological and functional results.
目的
观察上鼓室切开联合外耳道成形及鼓室成形术治疗局限性胆脂瘤的手术效果。
方法
对31例局限性上鼓室胆脂瘤及内陷袋患者行上鼓室切开术。手术步骤包括清除胆脂瘤及内陷袋，用软骨/软骨膜岛状瓣重建上鼓室外侧壁并行鼓室成形术。
结果
术后外耳道解剖形态接近正常，2年随访期间除2例发生鼓室硬化外，听力水平改善或保持正常。无上鼓室内陷袋或胆脂瘤复发。1例出现鼓膜穿孔。
结论
上鼓室切开术同期用上鼓室外侧壁重建及软骨/软骨膜鼓室成形术是治疗上鼓室胆脂瘤的可靠方法，可取得良好的形态及功能效果。
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