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乳突切除术罕见并发症的外科治疗：耳后皮肤-乳突瘘

Surgical Management of a Rare Complication of Mastoidectomy: A Retroauricular Cutaneous-Mastoid Fistula.

作者信息

Tsuladze Archil, Nakhutsrishvili Irine

机构信息

Otolaryngology, American Hospital Tbilisi, Tbilisi, GEO.

出版信息

Cureus. 2025 May 13;17(5):e84030. doi: 10.7759/cureus.84030. eCollection 2025 May.

DOI:10.7759/cureus.84030
PMID:40510079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12161415/
Abstract

Our goal was to describe a case of a rare complication that developed as a result of multiple surgical interventions over the years due to chronic mastoiditis - specifically, a pathological connection between a retroauricular skin defect and the mastoid cavity - and its surgical management. Based on subjective and objective findings, a surgical intervention was planned, including radical cavity obliteration and closure of the cutaneous-mastoid fistula using the temporomastoid periosteum. The surgery was successfully completed, resulting in improved hearing and the elimination of the infectious focus.

摘要

我们的目标是描述一例罕见并发症的病例，该并发症是多年来因慢性乳突炎进行多次外科手术干预而导致的——具体而言，是耳后皮肤缺损与乳突腔之间的病理性连接——以及对其的手术治疗。根据主观和客观检查结果，计划进行手术干预，包括彻底清除乳突腔并使用颞乳突骨膜封闭皮肤-乳突瘘。手术成功完成，听力得到改善，感染病灶得以消除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/0dd2b64db80e/cureus-0017-00000084030-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/833eaf59478f/cureus-0017-00000084030-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/696690e903e7/cureus-0017-00000084030-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/a90b3b4985dc/cureus-0017-00000084030-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/0dd2b64db80e/cureus-0017-00000084030-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/833eaf59478f/cureus-0017-00000084030-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/696690e903e7/cureus-0017-00000084030-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/a90b3b4985dc/cureus-0017-00000084030-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b98d/12161415/0dd2b64db80e/cureus-0017-00000084030-i04.jpg

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本文引用的文献

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New insights into the treatment of acute otitis media.急性中耳炎治疗的新见解。
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