Tran Ba Huy P, Chaar I, Fouda A, Almorad M, Brette M D, Freyss G
Clinique ORL, Hôpital Lariboisière, Paris.
Ann Otolaryngol Chir Cervicofac. 1988;105(2):83-92.
Anatomical and functional results were evaluated at 3 and 5 years after surgery for chronic cholesteatomatous otitis media in 94 patients treated by the same surgeon between 1975 and 1983. Open techniques predominated and were justified by seven clinical or epidemiologic factors present alone or in association in 80% of cases. Many patients were non-attenders at follow up (40% at 3 years and 70% at 5 years), recovery from their cholesteatoma being noted in 84% and 78% of those attending at 3 and 5 years respectively. Useful audition was recovered in 52%, including 2 of 3 due to an open technique. Petro-mastoid hollow-out with arrangement of cavity and minimal ossicular reconstruction is considered the most effective treatment for this type of affection.
对1975年至1983年间由同一位外科医生治疗的94例慢性胆脂瘤型中耳炎患者，在术后3年和5年评估其解剖学和功能结果。开放式手术占主导地位，80%的病例中单独或联合存在的七个临床或流行病学因素证明了其合理性。许多患者未进行随访（3年时为40%，5年时为70%），分别有84%和78%进行随访的患者胆脂瘤得到恢复。52%的患者恢复了有用听力，其中三分之二是由于采用开放式手术。颞骨-乳突掏空术结合腔隙处理和最小限度的听骨链重建被认为是治疗此类疾病最有效的方法。
