内镜检查对胆脂瘤治疗的影响。
The impact of endoscopy on the treatment of cholesteatomas.
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, Medical School of the Federal University of São Paulo, SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2013 Aug;79(4):505-11. doi: 10.5935/1808-8694.20130090.
UNLABELLED
Recurrent cholesteatoma is relatively uncommon. Residual middle ear cholesteatomas account for most of the cases of recurrent disease. The limited role of microscopy in the visualization of tridimensional anatomic alterations of the temporal bone led to the use of endoscopic examination as an additional tool in the realm of ear surgery. Endoscopy has significantly aided in the management of chronic cholesteatomatous otitis media and in the prevention of recurrent disease.
OBJECTIVE
To review the literature and assess the relevance of endoscopy in the surgical treatment of cholesteatomas and in the prevention of relapsing lesions.
METHOD
Searches on databases MedLine and LILACS were carried out between March and June of 2011 to select studies in which endoscopy was used in the management of cholesteatomas.
RESULTS
Three studies comparing surgery aided by endoscopy and surgery performed with the aid of a microscope met the inclusion criteria.
CONCLUSION
Endoscopy has positively impacted the management of cholesteatomas and should be used in cholesteatoma surgery.
目的
回顾文献，评估内镜在胆脂瘤手术治疗及预防复发病变中的作用。
方法
2011 年 3 月至 6 月间在 MedLine 和 LILACS 数据库中进行检索，选择应用内镜治疗胆脂瘤的研究。
结果
符合纳入标准的共有 3 项比较内镜辅助手术与显微镜辅助手术的研究。
结论
内镜对胆脂瘤的处理有积极影响，应在胆脂瘤手术中应用。
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