el Jerrari A, Charles X, Gentine A, Conraux C
Service ORL, Hôpitaux Universitaires de Strasbourg.
Ann Otolaryngol Chir Cervicofac. 1995;112(6):251-7.
This retrospective study of 110 middle ear cholesteatomas, concerning children up to 15 years old which have been treated between 1982 and 1992 in the ENT department of the university hospital of Strasbourg, analyzes the particularities of this disease and the therapeutic strategy adopted. The evolution of middle ear cholesteatoma is more rapid in childhood than in adulthood, due to greater growth potential of tissue in childhood, persistence of Eustachian tube dysfunction and aggressive extension in middle ear. The surgical removal is said to be difficult with numerous postoperative recurrences. Closed technique tympanoplasty was used for 47 cholesteatomas (43%), with a postoperative recurrence rate of 54%. An open technique was used for 63% cholesteatomas (57%), with a recurrence rate of 29%. The postoperative follow up has to be continued as long as possible, whatever the technique used may be.
这项对110例中耳胆脂瘤的回顾性研究，涉及1982年至1992年间在斯特拉斯堡大学医院耳鼻喉科接受治疗的15岁以下儿童，分析了该疾病的特殊性以及所采用的治疗策略。由于儿童期组织生长潜力更大、咽鼓管功能障碍持续存在以及中耳侵袭性扩展，中耳胆脂瘤在儿童期的发展比成人期更快。据说手术切除困难，术后复发率高。47例胆脂瘤（43%）采用了闭合式鼓室成形术，术后复发率为54%。63%的胆脂瘤（57例）采用了开放式技术，复发率为29%。无论采用何种技术，术后都必须尽可能长时间地持续随访。
