Deguine C
Ear Nose Throat J. 1993 Mar;72(3):197-200.
The closed technique is the treatment of choice for middle ear cholesteatoma in the opinion of the author. Several interventions may be required. At the onset, the purpose of the systematic second stage procedure was to verify the absence of any residual cholesteatoma. Experience has shown that the interest of this second intervention lies equally in the opportunity to observe the evolution of the otitis disease process, and the tubal status and in the possibility of restoring transmission under optimal conditions, thanks in particular to the utilization of thick silastic sheeting. This technique necessitates, however, a long-term follow-up. On occasion, a third intervention may be required. Despite the iterative nature of this surgery, it should be considered as a form of a logical progression offering the best chances of a successful anatomic and functional outcome for the patient.
在作者看来，闭合技术是中耳胆脂瘤的首选治疗方法。可能需要进行多次干预。一开始，系统性二期手术的目的是确认是否存在残留胆脂瘤。经验表明，第二次干预的意义同样在于有机会观察耳部疾病进程的演变、咽鼓管状况，以及在最佳条件下恢复传音的可能性，这尤其要归功于使用了厚硅橡胶片。然而，这种技术需要长期随访。有时，可能需要进行第三次干预。尽管这种手术具有重复性，但应将其视为一种合理的递进方式，为患者提供实现解剖和功能成功预后的最佳机会。
