Department of Otolaryngology, University of Minnesota, 420 Delaware Street Southeast, MMC 396, Minneapolis, MN 55455, USA.
Pediatric Otology and Neurotology, Department of Otology and Laryngology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA.
Otolaryngol Clin North Am. 2021 Feb;54(1):111-123. doi: 10.1016/j.otc.2020.09.012. Epub 2020 Nov 2.
Congenital cholesteatoma is a rare, primarily pediatric disease that presents in otherwise healthy ears. Typically, this disease is found in a well-defined sac in the middle ear, making it particularly suited for removal through transcanal endoscopic ear surgery. This article reviews the ways in which endoscopy can be applied to the surgical management of congenital cholesteatoma and provides a guide based on congenital cholesteatoma stage and extent. Outcomes have shown similar rates of residual disease in total endoscopic ear surgery compared with operative microscopy.
先天性胆脂瘤是一种罕见的疾病，主要发生在健康的儿童耳朵中。通常，这种疾病在中耳的一个明确的囊中发现，因此特别适合通过经耳道内镜耳手术切除。本文回顾了内镜在先天性胆脂瘤手术治疗中的应用方法，并根据先天性胆脂瘤的分期和范围提供了一个指南。结果表明，与显微镜手术相比，全内镜耳部手术的残留疾病发生率相似。
