Tran Ba Huy P, Chaar I, Fouda A, Almorad M, Brette M D, Freyss G
Chaire de Clinique ORL, Hôpital Lariboisière, Paris.
Ann Otolaryngol Chir Cervicofac. 1988;105(1):29-38.
Anatomic and functional results are reported after 3 and 5 year follow up of 94 cases of chronic cholesteatomatous otitis operated upon and kept under surveillance by the same surgeon between 1975 and 1983. Open technics dominated and were justified by seven clinical and epidemiologic factors found alone or in combination in 80% of patients. Results must allow for the high rate of non-attenders (40% at 3 years and 70% at 5 years). Recovery from their cholesteatoma was obtained in 84 and 78% of patients after 3 and 5 years respectively, 52% recovering useful hearing, 2 out of 3 of these due to an open technic. Modified radical mastoidectomy is considered to be undoubtedly the most effective treatment for this type of affection.
本文报告了1975年至1983年间，同一位外科医生对94例慢性胆脂瘤型中耳炎患者进行手术并随访3年和5年的解剖学及功能学结果。开放式手术占主导地位，80%的患者存在单独或合并出现的7种临床和流行病学因素，这证明了开放式手术的合理性。结果必须考虑到高失访率（3年时为40%，5年时为70%）。分别在3年和5年后，84%和78%的患者胆脂瘤得到康复，52%的患者恢复了有用听力，其中三分之二得益于开放式手术。改良乳突根治术无疑被认为是治疗此类疾病最有效的方法。
