Fombeur J P, Bouton V, Dobler S
Ann Otolaryngol Chir Cervicofac. 1980 Jan-Feb;97(1-2):85-9.
The authors study the results of surgical treatment of cholesteatomas on the basis of 748 records of chronic otitis - active or dry. Firstly at the time of eradication of lesions with a curative intention, amongst 152 cholesteatomas discovered, they noted that the result was successful in almost all cases following complete removal, contrasting with the frequent recurrence (25 to 30%) seen after other techniques. Subsequently, following closure of the ear by tympanoplasty or homograft, there was recurrence of cholesteatoma in one case out of 3 despite severe patient selection. In conclusion, the authors feel that the greatest caution should be exercised in treatment with conservative or reconstructive aims, the indications of which must be based not only on otological factors but also personal factors in the patient.
作者基于748例慢性中耳炎（活动期或静止期）的记录，研究了胆脂瘤的手术治疗结果。首先，在以治愈为目的根除病变时，在发现的152例胆脂瘤中，他们注意到几乎所有病例在完全切除后结果都是成功的，这与其他技术后常见的复发情况（25%至30%）形成对比。随后，在通过鼓室成形术或同种异体移植封闭耳朵后，尽管对患者进行了严格筛选，但3例中有1例出现了胆脂瘤复发。总之，作者认为在以保守或重建为目的的治疗中应格外谨慎，其适应症不仅必须基于耳科因素，还应基于患者的个人因素。
