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[内镜下中耳血管瘤切除术及文献复习]

[Endoscopic removal of middle ear haemangioma and review of the literature].

作者信息

Hirschberg Andor, Pozsgay Erzsébet, Erős Mónika, Liktor Balázs

机构信息

Fül-Orr-Gégészeti és Fej-Nyaksebészeti Osztály, Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő Budapest, Diós árok 1-3., 1125.

Patológiai Osztály, Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő Budapest.

出版信息

Orv Hetil. 2019 Oct;160(41):1639-1643. doi: 10.1556/650.2019.31515.

Abstract

The endoscopic middle ear surgery as a new technique has been introduced during the past few years in our country and it is available in only a few hospitals. Beyond the lack of external incision, endoscopic transcanal approach provides wide field of view to previously hidden middle ear spaces compared to the traditional microscopic technique. In this case report, we present an endoscopic surgery of middle ear capillary haemangioma that is a rare entity in tympanic cavity, therefore little has been published in the literature. Generally, these kind of vascular tumours occur in the internal auditory canal or in the perigeniculate ganglion area while this lesion originated from the inner surface of the inferior part of the bony tympanic ring. We discuss the difficulties in differential diagnosis and imaging tests then the treatment options. Orv Hetil. 2019; 160(41): 1639-1643.

摘要

内镜中耳手术作为一项新技术,在过去几年已被引入我国,且仅在少数几家医院开展。与传统显微镜技术相比,内镜经外耳道入路除了没有外部切口外,还能为以前难以看到的中耳间隙提供广阔视野。在本病例报告中,我们展示了一例中耳毛细血管瘤的内镜手术,该病变在鼓室中较为罕见,因此文献报道较少。一般来说,这类血管肿瘤发生在内耳道或膝状神经节周围区域,而此病变起源于骨性鼓环下部的内表面。我们讨论了鉴别诊断和影像学检查中的困难以及治疗方案。《匈牙利医学周报》。2019年;160(41):1639 - 1643。

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