Garcia D, Le Pajolec C, Attal P, Bobin S
Service d'ORL et de Chirurgie Cervico-Faciale, Centre Hospitalier Bicêtre, Kremlin-Bicêtre.
Ann Otolaryngol Chir Cervicofac. 1993;110(5):247-54.
Among 30 children with cholesteatoma undergoing surgery at the Bicetre Hospital between 1985 and 1990, 8 had intact tympanic membranes. Since this represents a larger portion of the patient population than would be expected from previously published data, we under-look a critical analysis of the clinical findings. Among these 8 cases, 2 corresponded to the criteria of congenital cholesteatoma with no history of otitis or trauma and 3 corresponded to acquired types with histories of ventilatory intubation, myringoplasty and accidental trauma. Finally, 3 cases were possibly of mixed origin with lesions typical of congenital epithelial rests and a history of commonplace era infections. Based on these observations, the authors review the clinical characteristics and pathogenesis of congenital cholesteatoma and evoke the etiologic impact of trauma, particularly iatrogenic events such as myringoplasty and ventilatory intubation.
1985年至1990年间，在比塞特尔医院接受手术的30例胆脂瘤患儿中，有8例鼓膜完整。由于这一比例在患者群体中高于先前发表的数据所预期的比例，我们对临床发现进行了批判性分析。在这8例病例中，2例符合先天性胆脂瘤的标准，无中耳炎或外伤史，3例符合后天性类型，有通气插管、鼓膜成形术和意外外伤史。最后，3例可能为混合起源，有典型的先天性上皮残余病变和常见耳部感染史。基于这些观察结果，作者回顾了先天性胆脂瘤的临床特征和发病机制，并探讨了外伤，特别是鼓膜成形术和通气插管等医源性事件的病因学影响。
