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首页> 外文期刊>Otology and neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology >Acquired cholesteatoma: classification and outcomes.
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Acquired cholesteatoma: classification and outcomes.

机译：获得的胆碱瘤：分类和结果。

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OBJECTIVE: Reclassification of acquired cholesteatoma into the commonly observed presentations of this condition to provide a simple and clear grouping that indicates the pathology, management, and outcomes of the group cases. PATIENTS: Virgin acquired cholesteatoma cases from a single center managed from 1986 to 2008 (515 cases). INTERVENTIONS: Cases were managed by transcanal (20%) or intact canal wall techniques. Wall repairs successively used autograft cartilage (transcanal and early intact canal wall mastoidectomy cases), hydroxylapatite plates (1989-2007), or titanium sheeting (2007). Drum repairs used cartilage-perichondrial composite grafts. Assembly techniques were the preferred ossiculoplasty method. RESULTS: Distribution: attic, 41%; pars tensa, 45%; and combined attic-pars tensa, 14%. Unclassifiable cases (n = 14) were excluded. Contralateral disease was present in 15% and effusions in 34% during or after surgery. Cell formation was most extensive in attic disease, least in combined patterns. Ossicular pathology was worse in the collapsed drum cases. Attic cases had the best hearing outcomes but risked recurrent disease, which required precise countermeasures. Overall, the combined pattern group carried the worst prognosis. CONCLUSION: Compared with previous methods, the clinical classification proved simple, descriptive, and comprehensive. It provides a readily discerned practical basis for clinical management and research purposes.
机译：目的：将获得的胆碱瘤重新分类为通常观察到的这种情况的表现，以提供简单明了的分组，以表明组病例的病理，管理和结果。患者：处女从1986年至2008年管理的单个中心（515例）获得了胆汁脱瘤病例。干预措施：通过跨加工（20％）或完整的管壁技术来管理病例。墙壁维修连续使用的自体移植软骨（跨粉和早期完整的管壁乳突切除术病例），羟基磷灰石板（1989-2007）或钛片（2007）。鼓维修使用了软骨 - 彻底的复合移植物。组装技术是首选的骨膜成形术方法。结果：分布：阁楼，41％; pars tensa，45％;并将阁楼pars tensa结合在一起，为14％。排除了无法分类的病例（n = 14）。对侧疾病在15％中存在，手术期间或手术后34％的积液为34％。细胞的形成最广泛，阁楼疾病最为广泛，至少在联合模式中。在崩溃的滚筒病例中，骨科病理较差。阁楼病例的听力效果最好，但可能会发生复发性疾病，这需要精确的对策。总体而言，组合模式组的预后最差。结论：与以前的方法相比，临床分类证明是简单，描述性和全面的。它为临床管理和研究目的提供了很容易辨别的实践基础。

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