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[挽救性鼓室成形术中发现的异常骨炎区域]

[Unusual zones of osteitis detected during salvage tympanoplasty].

作者信息

Bré M, Despreaux G, Biaggi S, Varene A, Saliba N, Fleury P

出版信息

Ann Otolaryngol Chir Cervicofac. 1985;102(4):203-4.

PMID:4051387
Abstract

Three patients were noted to have unusual zones of osteitis during salvage myringoplasty. The first case involved the whole upper wall of the bony canal and was camouflaged by a weeping mucopolypoid carpet. In the second case there was a wide zone of osteitis of the posterosuperior angle of the canal and another smaller zone in the anteroinferior tympanic region. The osteitis in the third case had invaded the total mastoid cortex producing a vast plaque of superficial osteitis which could be removed without difficulty. Diffuse osteomatous reaction of the wall of the canal had resulted. In all three cases a salvage myringoplasty was possible after elimination of the osteitic lesions, although a glue ear persisted with a punctiform perforation in one patient, suggesting tubal dysfunction.

摘要

在挽救性鼓膜成形术中,有3例患者被发现存在异常的骨炎区域。第一例累及骨管的整个上壁,被一层渗出的黏液息肉样组织所掩盖。第二例在骨管后上角有一个广泛的骨炎区域,在鼓室前下区域还有另一个较小的区域。第三例的骨炎已侵犯整个乳突皮质,形成一大片浅表骨炎斑块,可轻松切除。结果导致了骨管壁的弥漫性骨瘤样反应。在所有3例中,在消除骨炎病变后都可以进行挽救性鼓膜成形术,尽管有1例患者仍存在胶耳伴点状穿孔,提示咽鼓管功能障碍。

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