Vartiainen E, Kärjä J
Arch Otorhinolaryngol. 1986;243(3):190-3. doi: 10.1007/BF00470619.
We have compared the clinical presentations and results of operative treatment in 86 patients with bilateral chronic otitis media with findings in 641 patients with unilateral disease. Concomitant conditions such as cleft palate, rhinitis and chronic adenotonsillitis were found significantly more frequently in those patients with bilateral chronic otitis media than in the patients with unilateral disease. Additionally, cholesteatomas in the cases in which both ears were involved were larger than in those cases which only one ear was involved. The overall results of surgery were similar in the bilateral and unilateral cases. The timing of operation in cases of bilateral chronic otitis media and the special problems of operation on an only hearing ear are discussed.
我们比较了86例双侧慢性中耳炎患者的临床表现及手术治疗结果，并与641例单侧慢性中耳炎患者的情况进行了对比。结果发现，双侧慢性中耳炎患者合并腭裂、鼻炎及慢性腺样体扁桃体炎等疾病的频率明显高于单侧慢性中耳炎患者。此外，双耳患病病例中的胆脂瘤比单耳患病病例中的胆脂瘤更大。双侧和单侧病例的手术总体结果相似。本文还讨论了双侧慢性中耳炎患者的手术时机以及仅存听力耳手术的特殊问题。
