Li Rui, Yang Runqin, Zhang Changming, Feng Yani, Han Yu, Zha Dingjun
Department of Otolaryngology，the First Affiliated Hospital of the Air Force Military Medical University，Xi'an，710032，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Jul;36(7):501-505. doi: 10.13201/j.issn.2096-7993.2022.07.004.
To explore the clinical characteristics and diagnosis and treatment in the patients presenting with granulation tissue of the external auditory canal. The data of 71 postoperative patients presenting with granulation tissue of the external auditory canal in the Department of Otolaryngology, the First Affiliated Hospital of the Air Force Military Medical University from January 2015 to June 2020 were analyzed retrospectively, including the chief complaint, physical examination, auxiliary examination and preoperative imaging, biopsy was performed when necessary to confirm the diagnosis. Among the 71 patients, 30 cases were diagnosed as chronic otitis media, 19 cases were external auditory canal cholesteatoma, 5 cases were external auditory canal carcinoma, 6 cases were paraganglioma, 1 case was granulomatous hemangioma, 1 case was first branchial cleft fistula, 4 cases were granuloma of the external auditory canal, 4 cases were hemangioma of the external auditory canal, and 1 case was foreign body of the external auditory canal. Individualized treatment plans are made according to the characteristics and extent of the lesions. Postoperative follow-up was 12 to 74 months, with an average of （44±18.1） months. Seventy patients（98.6%） had no complications such as sensorineural deafness, external auditory stenosis or peripheral facial paralysis after surgery, and one patient with paraganglioma had postoperative neurological function grade Ⅱ, and was treated with nutritional nerves, and the postoperative neural function recovered to grade Ⅰ after 3 months. The patients presenting with granulation tissue of the external auditory canal can be diagnosed as various diseases. It is necessary to analyze the patient's medical history in detail, confirm the diagnosis in combination with imaging examination, and formulate an individualized treatment plan to reduce misdiagnosis and missed diagnosis.
探讨外耳道肉芽组织患者的临床特点及诊治方法。回顾性分析2015年1月至2020年6月空军军医大学第一附属医院耳鼻咽喉科71例术后出现外耳道肉芽组织患者的数据，包括主诉、体格检查、辅助检查及术前影像学检查，必要时行活检以明确诊断。71例患者中，慢性中耳炎30例，外耳道胆脂瘤19例，外耳道癌5例，副神经节瘤6例，肉芽肿性血管瘤1例，第一鳃裂瘘管1例，外耳道肉芽肿4例，外耳道血管瘤4例，外耳道异物1例。根据病变特点及范围制定个体化治疗方案。术后随访12至74个月，平均（44±18.1）个月。70例（98.6%）患者术后无感音神经性聋、外耳道狭窄或周围性面瘫等并发症，1例副神经节瘤患者术后神经功能为Ⅱ级，予以营养神经治疗，3个月后神经功能恢复至Ⅰ级。外耳道肉芽组织患者可诊断为多种疾病，需详细分析患者病史，结合影像学检查明确诊断，并制定个体化治疗方案，以减少误诊和漏诊。
