Andrieu-Guitrancourt J, Dehesdin D, Schlosser M
Ann Otolaryngol Chir Cervicofac. 1980 Jan-Feb;97(1-2):39-44.
On the basis of 38 cases seen in the child, with a postoperative follow-up of more than 2 years, the authors note the special and early aggressive nature of cholesteatoma of the middle year at this age. Its development depends upon tubal factors which in general remain in an underlying position but involve the risk of inducing direct complications during the postoperative course. These reasons lead to the suggestion of a technique involving sacrifice of the osseous meatus and tympanoplasty which often saves hearing. Preservation of the osseous meatus is still to be recommended in limited forms and in the absence of any notable tubal factor, not encountered in this series.
基于对38例儿童患者的观察，术后随访超过2年，作者注意到该年龄段中耳胆脂瘤具有特殊且早期侵袭性的特点。其发展取决于咽鼓管因素，这些因素通常处于潜在状态，但在术后过程中存在引发直接并发症的风险。基于这些原因，有人提出一种涉及牺牲骨性外耳道和鼓室成形术的技术，该技术通常能挽救听力。在有限的情况下且不存在任何明显的咽鼓管因素时（本系列未遇到这种情况），仍建议保留骨性外耳道。
