Department of Otolaryngology-Head & Neck Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, LKSD 5045, Cleveland, OH 44106, USA. Electronic address: https://twitter.com/AlexArambula14.
Department of Otolaryngology-Head & Neck Surgery, Cleveland Clinic, 9500 Euclid Avenue, Mail Code A71, Cleveland, OH 44195, USA.
Otolaryngol Clin North Am. 2025 Feb;58(1):113-121. doi: 10.1016/j.otc.2024.07.013. Epub 2024 Sep 6.
When surgically managing cholesteatoma, the Bondy modified radical mastoidectomy (MRM) and retrograde mastoidectomy can enhance visualization while minimizing the extent of surgery required for disease removal. The Bondy MRM can be used for disease limited to the atticoantral space, when the ossicles and middle ear space are otherwise healthy, and for canal cholesteatomas. The retrograde mastoidectomy offers a safe alternative for patients with unfavorable tegmen and sigmoid sinus positions and poorly pneumatized mastoids. Both approaches achieve favorable recidivism rates and postoperative hearing outcomes. This article serves as a reference regarding indications, techniques, and complications for these approaches.
当通过手术来治疗胆脂瘤时，邦迪改良根治性乳突切除术（MRM）和逆行乳突切除术可以增强可视化效果，同时最大限度地减少为清除疾病而需要进行的手术范围。邦迪 MRM 可用于病变仅限于 atticantral 空间的病例，此时听小骨和中耳腔状况良好，也可用于管型胆脂瘤。逆行乳突切除术为鼓室天盖和乙状窦位置不佳以及乳突气化不良的患者提供了一种安全的替代方法。这两种方法都能获得良好的复发率和术后听力效果。本文旨在为这些方法的适应证、技术和并发症提供参考。
