Kuttner K, Buntzel J, Andra K
Klinik für Hals-Nasen-Ohren-Krankheiten, Plastische Operationen am Klinikum Suhl/Thüringen.
Laryngorhinootologie. 1996 Feb;75(2):65-9. doi: 10.1055/s-2007-997537.
To analyse the late results of mastoiditis and operative intervention as well as critical classification of our own indication for operation we invited 298 operated patients to follow-up examinations.
218 of 298 patients operated on, took part in these examinations. The follow-up time ranged between 2 and 18 years.
Altogether 311 ears were operated. Out of these, 69 patients had presented with classical mastoiditis and 242 with "masked" type. Microscopic examination of the operated ears showed that 284 (91.3%) had normal tympanic membranes, 13 (4.2%) had central tympanic membrane perforations with mucosal inflammation and 14 (4.5%) had residual retraction pockets or attic cholesteatomas. Hearing tests showed that 242 (77.8%) were normal, 56 (18%) had conductive deafness (with 32 of these ears having normal tympanic membranes), 10 (3.2%) had sensorineural deafness and 3 (1%) combined deafness. Schüller's radiographic views demonstrated compact mastoid processes in 48.7% of the reexamined ears and re-pneumatisation in 53%.
The presented data of our re-examinations support our principle that prompt surgical treatment of all forms of mastoiditis is imperative.
为了分析乳突炎的晚期结果、手术干预情况以及对我们自己的手术指征进行关键分类，我们邀请了298例接受手术的患者进行随访检查。
298例接受手术的患者中有218例参加了这些检查。随访时间为2至18年。
总共对311只耳朵进行了手术。其中，69例患者表现为典型乳突炎，242例为“隐匿性”类型。对手术耳朵的显微镜检查显示，284只（91.3%）鼓膜正常，13只（4.2%）有中央鼓膜穿孔伴黏膜炎症，14只（4.5%）有残余内陷袋或上鼓室胆脂瘤。听力测试显示，242只（77.8%）正常，56只（18%）有传导性耳聋（其中32只耳朵鼓膜正常），10只（3.2%）有感音神经性耳聋，3只（1%）有混合性耳聋。许勒位X线片显示，48.7%的复查耳朵乳突呈致密型，53%有重新气化。
我们复查的结果支持我们的原则，即对所有形式的乳突炎进行及时的手术治疗是势在必行的。
