Průcha I, Podhola K
Cesk Otolaryngol. 1989 Sep;38(5):289-96.
The authors submit their experience with the treatment of chronic otitis media with cholesteatoma and inform on therapeutic results recorded in 1979-1986. Chronic otitis media with cholesteatoma are encountered still relatively frequently. The authors detected it in adults in 40%. In children and adolescents under 20 years the percentage incidence is even higher, 53%. In a group of 38 operated patients the authors investigated the preoperative findings, the type of auditory disorder and its extent. They investigated also the selection of operations and reconstruction operations. The auditory gains were correlated with the percentage occlusion of the cochlear reserve, subjective data on altered hearing, disappearance of tinnitus and discharge from the ear. In children and adolescents a 22% auditory gain was recorded, in the age group of 21-40 years an auditory gain of 19.20%. In more advanced age groups a loss of 16.4%. Subjective improvement of hearing was reported by 41%, no change by 32%, deterioration by 27% of the patients. Constant tinnitus persisted after operation in 7.9% and a constant discharge in 4.5% of the operated patients. In one instance the authors observed a relapse of cholesteatoma in a patient operated by the so-called "closed method".
作者介绍了他们治疗胆脂瘤型慢性中耳炎的经验，并报告了1979年至1986年期间记录的治疗结果。胆脂瘤型慢性中耳炎仍相对常见。作者发现，40%的成年患者患有此病。在20岁以下的儿童和青少年中，发病率甚至更高，为53%。在一组38例接受手术的患者中，作者调查了术前检查结果、听觉障碍的类型及其程度。他们还研究了手术及重建手术的选择。听觉改善与耳蜗储备的堵塞百分比、听力改变的主观数据、耳鸣消失及耳内流脓情况相关。儿童和青少年的听觉改善率为22%，21至40岁年龄组的听觉改善率为19.20%。在年龄更大的组中，听觉下降率为16.4%。41%的患者报告听力有主观改善，32%的患者无变化，27%的患者听力恶化。7.9%的手术患者术后持续存在耳鸣，4.5%的手术患者术后持续流脓。作者曾观察到1例采用所谓“封闭法”手术的患者出现胆脂瘤复发。
