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[耳部罕见疾病:鼓骨纤维发育不良、广泛性乳头状瘤病、耵聍腺瘤、曲霉菌瘤、鼓骨自发性空洞形成]

[Rare diseases of the ear: fibrous dysplasia of the tympanic bone, extensive papillomatosis, ceruminoma, aspergilloma, spontaneous évidement of the tympanic bone].

作者信息

Despreaux G, Kuffer R, de Roquancourt A, Verola O, Fabre A, Perrin A, Varene A, Saliba N, Fleury P

出版信息

Ann Otolaryngol Chir Cervicofac. 1985;102(4):255-61.

PMID:4051394
Abstract

The authors report six cases of rare ear diseases: fibrous dysplasia of the tympanum mimicking an partially obstructive osteoma of the external auditory canal. The authors draw a parallel between the rarity of these monostotic forms of the temporal bone which are strictly localised to a single region (tympanum-mastoid-atrium) and the diffuse forms which involve several regions at the same time; extensive papillomatosis of the external and middle ear, a rare condition with serious repercussions; two ceruminomas with very different clinical presentations and outcomes; an atrial pseudo-tumoral aspergilloma which was easily excised ans repaired with a myringoplasty with a good long term result; hypoplasia of the tympanum, which constituted a spontaneous évidement, discovered at operation for an attic cholesteatoma. This finding was sufficiently unusual to warrant reporting.

摘要

作者报告了6例罕见耳部疾病:鼓膜纤维发育异常,酷似外耳道部分阻塞性骨瘤。作者将颞骨这些严格局限于单一区域(鼓膜-乳突-鼓房)的单发性病变形式的罕见性与同时累及多个区域的弥漫性病变形式进行了对比;中耳和外耳道广泛乳头状瘤病,这是一种罕见疾病,会产生严重后果;2例临床表现和预后差异很大的耵聍瘤;1例鼓房假瘤性曲霉菌病,很容易切除并通过鼓膜成形术修复,长期效果良好;鼓膜发育不全,这是在进行上鼓室胆脂瘤手术时发现的一种自发空洞。这一发现非常罕见,值得报告。

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