Department of Otolaryngology-Head & Neck Surgery, Medstar Georgetown University Hospital, Washington, DC, USA.
Otolaryngology, Head and Neck Surgery, Cleveland Clinic, Cleveland, OH, USA.
Otolaryngol Clin North Am. 2025 Feb;58(1):153-163. doi: 10.1016/j.otc.2024.07.014. Epub 2024 Sep 2.
Surgical treatment of cholesteatoma requires a highly individualized approach, balancing disease eradication with hearing preservation, and necessitates thorough patient counseling on expected auditory outcomes and options for rehabilitation. The choice between canal wall up and canal wall down mastoidectomy can influence hearing outcomes. Hearing rehabilitation options following cholesteatoma surgery include air- and bone-conduction devices and are individualized for the patient. Assistive listening devices such as frequency modulation systems, hearing loops, and Bluetooth technology are critical for enhancing speech understanding in noisy environments for patients who employ various hearing rehabilitation methods and require further advanced solutions.
胆脂瘤的手术治疗需要采取高度个体化的方法，在消灭疾病的同时兼顾听力保护，需要向患者详细说明预期的听力结果和康复选择。鼓室成形术选择完壁式或开放式取决于听力结果。胆脂瘤手术后的听力康复选择包括气导和骨导设备，并根据患者个体情况进行选择。对于使用各种听力康复方法并需要进一步高级解决方案的患者，诸如调频系统、听力环路和蓝牙技术等助听设备对于在嘈杂环境中提高言语理解能力至关重要。
