胆脂瘤型慢性中耳炎的严重形式（作者译）

[Severe forms of cholesteatomatous chronic otitis (author's transl)].

作者信息

Fleury P, Basset J M, Aben-Moha G, François M, Royer P

出版信息

Ann Otolaryngol Chir Cervicofac. 1982;99(4-5):175-86.

Abstract

Eighty further case-reports of patients, hospitalized for particularly severe forms of cholesteatomatous chronic otitis since 1977, are analyzed. -Cholesteatomas were associated with spontaneous atticotomy and atrial invasion in 37 cases, while in 8 patients the cholesteatoma was revealed by the presence of premalleal and anterior subligamental perforations. -New features were observed in 7 cases of cholesteatomatous and osteomatous chronic otitis. -Giant cholesteatoma was present in 12 cases, and unilateral tumors in 6 patients. -Four rarer types of lesion, obviously of a serious nature, were observed, including: -polypoid and hemorrhagic tumors (6 cases), -persistently highly fetid cholesteatomas (6 cases), and those that appeared to be "under pressure" (13 cases). -Finally, 7 cases were unusual and disturbing, demonstrating early extensive osteitic recurrence less than 6 months after initial excision. Widespread evidement is necessary for the majority of these cases.

摘要

对自1977年以来因特别严重的胆脂瘤型慢性中耳炎住院的80例患者的病例报告进行了分析。-胆脂瘤与37例自发性鼓室切开术和鼓房侵犯相关，而8例患者的胆脂瘤是通过锤骨前和韧带下前部穿孔发现的。-在7例胆脂瘤型和骨瘤型慢性中耳炎中观察到新特征。-12例存在巨大胆脂瘤，6例为单侧肿瘤。-观察到4种明显严重的罕见病变类型，包括：-息肉样和出血性肿瘤（6例），-持续有强烈恶臭的胆脂瘤（6例），以及似乎“受压”的胆脂瘤（13例）。-最后，7例情况异常且令人不安，显示在初次切除后不到6个月就出现早期广泛的骨质复发。对这些病例中的大多数而言，广泛的证据是必要的。