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首页> 外文期刊>Clinical and Experimental Otorhinolaryngology >Clinical Results of Atticoantrotomy with Attic Reconstruction or Attic Obliteration for Patients with an Attic Cholesteatoma
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Clinical Results of Atticoantrotomy with Attic Reconstruction or Attic Obliteration for Patients with an Attic Cholesteatoma

机译：阁楼胆囊切除术联合阁楼重建或阁楼闭塞的临床结果

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Objectives We aimed to investigate the clinical results of atticoantrotomy in patients with an attic cholesteatoma. Methods Ninety-eight ears in 98 patients were operated on using atticoantrotomy between October 2002 and December 2006. A retrospective review of the otology database (operative findings and methods, postoperative physical examination and pre- and postoperative audiometry) was performed. Results There were 58 female and 40 male patients with a mean age of 40 yr. The cholesteatoma was limited to the attic region in 24 patients (24.5%); attic with antrum in 18 (18.4%); and attic with antrum and middle ear in 56 (57.1%). Attic obliteration was performed in 59 patients (60.2%), attic reconstruction in 39 (39.8%) and ossicular reconstruction was performed in 59 (60.2%). The mean preoperative and postoperative air-bone gaps were 29.2±13.5 dB and 25.0±15.4 dB, respectively ( P =0.01) and the mean preoperative and postoperative high-tone bone conduction levels were 14.5±9.7 dB and 15.23±14.0 dB, respectively ( P =0.411). A recurrent cholesteatoma was detected in 3 ears (3%) and revision surgery was performed on these patients. Conclusion Atticoantrotomy showed a low recurrence rate and no deterioration in hearing levels. If there is a intact malleus head or body of incus, attic reconstruction was possible and this procedure could lead to improved hearing. However, postoperative retraction occurred in 18% of patients, a problem that will need to be solved in the future.
机译：目的我们旨在调查阁楼胆脂瘤患者的肛肠切开术的临床结果。方法在2002年10月至2006年12月间，对98例患者的98例耳朵进行了闭锁切开术。回顾性回顾了耳科数据库（手术结果和方法，术后体格检查以及术前和术后测听）。结果平均年龄40岁的女性58例，男性40例。胆脂瘤限于24例（24.5％）的阁楼区域;有胃窦的阁楼在18（18.4％）;胃窦和中耳的阁楼中有56个（57.1％）。 59例患者（60.2％）进行了阁楼闭塞术，39例（39.8％）进行了阁楼重建，59例（60.2％）进行了听骨重建。术前和术后平均气隙为29.2±13.5 dB和25.0±15.4 dB（P = 0.01），术前和术后高音骨传导平均水平分别为14.5±9.7 dB和15.23±14.0 dB （P ＝ 0.411）。在3只耳朵（3％）中发现了复发性胆脂瘤，并对这些患者进行了翻修手术。结论胃窦切开术复发率低，听力水平没有恶化。如果有完整的锤骨头或body骨体，则可能进行阁楼重建，并且此过程可改善听力。但是，术后缩回发生在18％的患者中，这个问题将来需要解决。

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