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Management of cholesteatoma: status of the canal wall.

机译:胆脂瘤的管理:管壁的状态。

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摘要

OBJECTIVE/HYPOTHESIS: Management of chronic otitis media with cholesteatoma remains controversial. The purpose of the study is to examine factors associated with the surgical approach to manage cholesteatoma. STUDY DESIGN: A retrospective review. METHODS: A retrospective review was made of all primary cases of mastoid surgery for cholesteatoma performed at an otological center between 1995 and 2000. During the study period, 486 ears underwent surgery for cholesteatoma. Data included procedures performed, location and extent of the disease, residual and recurrent disease, complications, reasons for staging the surgery, and duration of follow-up. RESULTS: The canal wall remained intact in 68.5% of ears. The majority of the remainder of the patients underwent a canal wall down technique with mastoid obliteration. Residual cholesteatoma was found in 26.9% of second procedures and in 2.7% of third procedures. CONCLUSIONS: The majority of patients with cholesteatoma can be adequately managed with a canal intact tympanomastoidectomy with staging. Otolaryngologists should consider a two-staged procedure as a viable management approach for chronic otitis media with cholesteatoma.
机译:目的/假设:患有胆脂瘤的慢性中耳炎的治疗仍存在争议。该研究的目的是检查与治疗胆脂瘤的手术方法相关的因素。研究设计:回顾性审查。方法:回顾性回顾了1995年至2000年在耳鼻喉科中心进行的所有乳突样胆脂瘤手术的主要病例。在研究期间,有486只耳朵接受了胆脂瘤手术。数据包括执行的程序,疾病的位置和程度,残留和复发性疾病,并发症,手术分期的原因以及随访时间。结果:68.5%的耳朵的耳道壁完好无损。其余大多数患者接受了乳突闭塞术进行管壁切开术。在第二次手术中占26.9%,在第三次手术中占2.7%,发现残留的胆脂瘤。结论:大多数胆脂瘤患者可通过完整的腔内鼓室乳突切除术进行分期治疗。耳鼻喉科医生应考虑分两阶段进行手术,作为治疗胆脂瘤的慢性中耳炎的可行治疗方法。

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