Jahnke K, Khatib M, Rau U
Laryngol Rhinol Otol (Stuttg). 1985 May;64(5):238-42.
A long-term review of 140 ears in 133 patients was carried out. All ears had first been operated on in 1971 and 1972 for cholesteatoma in the E.N.T. clinic. A closed technique was used in 110 ears and in the remaining 30 ears an open technique, depending on the pneumatisation of the mastoid, the extent of the cholesteatoma, tubal function and the age and social circumstances of the patient. At that time, second-look operations were carried out on relatively few patients after a closed operation. While the short-term results were favourable, recurrent cholesteatomas still developed 8 to 10 years later; 9 were discovered at this review alone. The long-term incidence of recurrence was 25%. Recurrent cholesteatomas were found in 57% of patients who were first operated on for a cholesteatoma before the age of 21, 24% of those between 21 and 40, and 11% of those between 41 and 60. These results reaffirm the necessity for a planned second-look operation in all young patients and also the importance of outpatient follow-up over many years.
对133例患者的140只耳朵进行了长期随访。所有耳朵均于1971年和1972年在耳鼻喉科诊所首次接受胆脂瘤手术。根据乳突气化情况、胆脂瘤范围、咽鼓管功能以及患者年龄和社会情况，110只耳朵采用了闭合技术，其余30只耳朵采用了开放技术。当时，闭合手术后进行二期探查手术的患者相对较少。虽然短期效果良好，但8至10年后仍有复发性胆脂瘤发生；仅在本次随访中就发现了9例。复发的长期发生率为25%。首次因胆脂瘤手术时年龄在21岁之前的患者中，57%出现复发性胆脂瘤；21至40岁之间的患者中，这一比例为24%；41至60岁之间的患者中，这一比例为11%。这些结果再次证实了对所有年轻患者进行计划性二期探查手术的必要性，以及多年门诊随访的重要性。
