耳道壁下乳突切除术加外耳道成形术治疗耳道及乳突广泛寻常疣
Canal Wall-Down Mastoidectomy plus Meatoplasty for Extensive Verruca Vulgaris in the Ear Canal and Mastoid Bone.
作者信息
Oh Hyeon Sik, Lee Eun Sub, Han Tae Young, Shim Hyun Joon
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Eulji University, Eulji Medical Center, Seoul, Korea.
Department of Dermatology, Eulji University, Eulji Medical Center, Seoul, Korea.
出版信息
J Int Adv Otol. 2018 Dec;14(3):501-503. doi: 10.5152/iao.2018.4926.
Verruca vulgaris is commonly seen on the hands, feet, and face, but rarely in the external auditory canal. We report the case of a 57-year-old woman with a huge papillary mass filling the entire external auditory canal, with destruction of the posterior canal wall and excavation into the mastoid bone. We performed en bloc resection of the whole region affected by verruca vulgaris, including the external auditory canal, mastoid skin, and tympanic membrane using canal wall-down mastoidectomy plus meatoplasty. There was no evidence of recurrence 12 months postoperatively. Complete surgical removal by mastoidectomy is a promising option for wide-spread verruca vulgaris in the external auditory canal.
寻常疣常见于手、足和面部，但很少出现在外耳道。我们报告了一例57岁女性病例，其外耳道内有一个巨大的乳头状肿物，占据整个外耳道，破坏了外耳道后壁并侵入乳突骨。我们采用外耳道后壁开放式乳突根治术加外耳道成形术，对受寻常疣影响的整个区域进行了整块切除，包括外耳道、乳突皮肤和鼓膜。术后12个月无复发迹象。对于外耳道广泛分布的寻常疣，通过乳突根治术进行完整的手术切除是一种有前景的选择。
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