Li Chen, Wang Bing, Zhang Han, Yang Shuangyuan, Yang Ting, Han Xiangli, Liu Hui, Zhang Wen
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Oct;35(10):952-956. doi: 10.13201/j.issn.2096-7993.2021.10.020.
Middle ear cholesteatoma, as a common ear disease, has been further understood in terms of its molecular mechanism, classification and staging, and it is generally believed that surgical treatment is the first choice, but there is no final conclusion on its surgical choice. Microscopic surgery includes complete or open radical mastoidectomy with or without reconstruction of the middle ear cavity, and their pros and cons have been debated for decades. In the past decade, a variety of surgical methods have been developed, including various improvements and combined operations that combine the advantages of traditional open radical mastoidectomy and complete mastoidectomy. On the other hand, the emergence of ear endoscopic surgery has opened up new surgical methods, as well as the use of laser and other new technologies to improve the surgical effect and prognosis, but also can not avoid their limitations and shortcomings. The purpose of this paper is to summarize the advantages and disadvantages of various surgical treatments for middle ear cholesteatoma in order to provide guidance and help for otologists in the treatment of middle ear cholesteatoma.
中耳胆脂瘤作为一种常见的耳部疾病，在其分子机制、分类和分期方面已有了更深入的认识，人们普遍认为手术治疗是首选，但在手术方式的选择上尚无定论。显微手术包括完整或开放式根治性乳突切除术，可选择或不选择中耳腔重建，其优缺点已争论了数十年。在过去十年中，开发了多种手术方法，包括各种改进以及结合传统开放式根治性乳突切除术和完整乳突切除术优点的联合手术。另一方面，耳内镜手术的出现开辟了新的手术方式，以及使用激光等新技术来提高手术效果和预后，但也无法避免其局限性和缺点。本文的目的是总结各种中耳胆脂瘤手术治疗方法的优缺点，以便为耳科医生治疗中耳胆脂瘤提供指导和帮助。
