Bours A F, Lacroix A, Gersdorff M
Université Catholique de Louvain, Cliniques Universitaires St Luc, Service ORL, Bruxelles, Belgique.
Rev Laryngol Otol Rhinol (Bord). 1997;118(3):193-4.
Osteomatous chronic otitis media is an extremely rare clinical entity. Fleury has described three types: a massive type, a diffuse attico-antral type, and a localised type. This latter is equivalent to a state of chronic inflammation of the middle or outer ear, accompanied by bony excresscences of osteomatous type. Here we add two additional cases to the few which are to be found in the literature on this subject. We would also like to emphasize the practical-surgical difficulty of treating such cases, with the vital structures of the middle ear hidden (facial nerve, lateral semicircular canal, and ossicles), and would advise the greatest care when tackling these surgically.
骨瘤性慢性中耳炎是一种极为罕见的临床病症。弗勒里描述了三种类型：巨大型、弥漫性上鼓室-鼓窦型和局限型。后者相当于中耳或外耳的慢性炎症状态，并伴有骨瘤样骨质增生。在此，我们在关于该主题的文献中所发现的少数病例基础上又增加了两例。我们还想强调治疗此类病例在实际手术中的困难，因为中耳的重要结构（面神经、外半规管和听小骨）位置较深，建议在进行此类手术时要格外小心。
