Sánchez-Alcón M D, Morera C
Departamento de otorrinolaringología, Hospital Universitario La Fe, Valencia.
An Otorrinolaringol Ibero Am. 1996;23(2):123-30.
We study several cases of patients who presented clinical symptoms indicating the presence of a middle ear mass (tinnitus, hearing loss, otorrhea, otorrhagia...). We had to rule out the presence of an expanding tumour (either in the form of a cholesteatoma or a glomus tumor) and the existence of vascular anomalies of the middle ear (enlarged jugular bulb or jugular megabulb deformity). Due to the possibility of a different treatment in each particular case (radiotherapy, radical surgery, jugular vein ligation or even no treatment at all), the relative value of various imaging techniques and/or a possible surgical approach before arriving to a conclusive diagnosis, is discussed.
我们研究了几例出现提示中耳肿物（耳鸣、听力损失、耳漏、耳出血……）临床症状的患者。我们必须排除存在扩展性肿瘤（胆脂瘤或球瘤形式）以及中耳血管异常（颈静脉球扩大或颈静脉巨球畸形）的情况。由于在每个特定病例中可能采用不同的治疗方法（放疗、根治性手术、颈静脉结扎甚至完全不治疗），因此在得出最终诊断之前，讨论了各种成像技术和/或可能的手术方法的相对价值。
