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首页> 外文期刊>American journal of otolaryngology >Diagnosis and management of aggressive, acquired cholesteatoma with skull base and calvarial involvement: a report of 3 cases.
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Diagnosis and management of aggressive, acquired cholesteatoma with skull base and calvarial involvement: a report of 3 cases.

机译：侵袭性获得性胆脂瘤伴颅底和颅盖受累的诊断和治疗：附3例报告。

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摘要

A prospective case review of 3 patients treated at a tertiary referral center from 1997 to 2002 are presented. Three men, age 30 to 68 (mean, 45) years, were treated for acquired cholesteatoma with skull base invasion. Two patients had no prior otological surgery, and 1 was detected after 4 prior mastoid procedures. One presented with progressive unilateral facial palsy, 1 with otorrhea, and 1 with temporal mass above a modified radical mastoidectomy cavity. All 3 patients were treated with single-staged canal wall-down mastoidectomy. Patients were followed up with otoscopy and neuroimaging from 40 to 61 months. Two patients had no recurrence of cholesteatoma, and 1 had squamous debris in the mastoid cavity removed in the outpatient clinic. One had complete ipsilateral facial nerve paralysis preoperatively and recovered to House-Brackmann grade III within 1 year of surgery. Patient 1 had labyrinthine involvement before surgery and had ipsilateral anacusis after resection and repair. No other complications occurred. Initial presentation, workup, surgical challenges, disease follow-up, facial nerve function, hearing results, and complications are reported.
机译：本文介绍了1997年至2002年在三级转诊中心接受治疗的3例患者的前瞻性病例回顾。三名年龄在30至68岁（平均45岁）的男性因颅底侵犯而获得性胆脂瘤。两名患者没有接受过耳科手术，在进行过4次乳突手术后发现1例。 1例表现为进行性单侧面神经麻痹，1例耳漏，1例颞部肿块位于改良根治性乳突切除腔上方。所有3例患者均接受了单阶段管壁乳突切除术治疗。对患者进行40到61个月的耳镜和神经影像学随访。 2例患者无胆脂瘤复发，1例在门诊部切除了乳突腔内的鳞屑。一名患者术前完全患侧面神经麻痹，并在手术后1年内恢复为House-Brackmann III级。患者1在手术前受迷宫刺激累及，在切除和修复后患​​了同侧耳鸣。没有其他并发症发生。报告了最初的表现，检查，手术挑战，疾病随访，面神经功能，听力结果和并发症。

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