Yanta M J, Brown O E, Fancher J R
Department of Otolaryngology, UT Southwestern Medical Center at Dallas 75235-9035, USA.
Int J Pediatr Otorhinolaryngol. 1996 Oct;37(2):173-8. doi: 10.1016/0165-5876(96)01387-0.
A 14-year old white male presented with a 2-year history of bilateral otorrhea. Purulent otorrhea with very stenotic external auditory canals (EAC) were found, and the patient was treated with topical otic solutions. Bilateral conductive hearing loss was found on audiometric studies. Biopsies were taken after the patient failed medical treatment. The results were consistent with granulation tissue and chronic inflammation. A CT scan revealed complete bilateral EAC stenosis. At surgery the patient was found to have bilateral retained Goode T-tubes, which were placed at 2 years of age. After removal of the tubes, the patient made a good recovery with improved hearing. This case illustrates a severe complication of retained tympanostomy tubes. Patients with these tubes require close long-term follow-up with careful management of problems such as granulation tissue or otorrhea to prevent this type of complication.
一名14岁白人男性，有2年双侧耳漏病史。检查发现外耳道脓性耳漏且外耳道极度狭窄，患者接受了局部耳用溶液治疗。听力测定研究发现双侧传导性听力损失。患者药物治疗无效后进行了活检。结果与肉芽组织和慢性炎症一致。CT扫描显示双侧外耳道完全狭窄。手术时发现患者双侧保留有2岁时置入的古德T形管。取出这些管子后，患者听力改善，恢复良好。该病例说明了保留鼓膜造口管的一种严重并发症。留置这些管子的患者需要长期密切随访，并仔细处理肉芽组织或耳漏等问题，以预防此类并发症。
