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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Evaluation of second look procedures for pediatric cholesteatomas.
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Evaluation of second look procedures for pediatric cholesteatomas.

机译：小儿胆脂瘤的第二次检查程序的评估。

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摘要

OBJECTIVE: This study aims to identify factors that may help predict recurrence, the need for second-look operations, and other outcomes in the pediatric population. STUDY DESIGN: Case series with chart review. SETTING: Tertiary medical center. SUBJECTS AND METHODS: Five hundred and seventeen ears in 493 patients underwent primary acquired cholesteatoma resection over a 37-year period. Demographic (age, sex, and other medical conditions), cholesteatoma laterality, presence of perforation or otorrhea on otoscopic exam, preoperative and most recent audiologic data, and detailed intraoperative data were collected. RESULTS: Overall, 47.2% of patients underwent second-look operations, with 48.0% having recurrent cholesteatoma visualized with attic recurrence being the most common location. In total, 22.7% of all patients in this study had recurrent disease. Factors at initial operation associated with a statistically significant increased risk of recurrence included cholesteatoma in the sinus tympani (odds ratio = 2.09; 95% confidence interval, 1.36-3.22) and incus destruction (1.65; 1.01-2.71). CONCLUSION: The authors have successfully identified multiple factors at the time of initial operation that can have significant postoperative implications.
机译：目的：本研究旨在确定可能有助于预测复发的因素，儿科人群进行第二次手术的需求以及其他结果。研究设计：带有图表审查的案例系列。地点：第三级医疗中心。研究对象和方法：在37年的时间里，对493例患者的517耳进行了原发性获得性胆脂瘤切除术。收集了人口统计资料（年龄，性别和其他医疗状况），胆脂瘤偏侧性，耳镜检查中是否存在穿孔或耳漏，术前和最新的听力学数据以及详细的术中数据。结果：总体而言，有47.2％的患者接受了第二次手术，其中48.0％的复发性胆脂瘤可见皮层复发，是最常见的部位。总共有22.7％的患者患有复发性疾病。初次手术时与复发风险统计学上显着增加相关的因素包括鼓膜窦性胆脂瘤（奇数比= 2.09; 95％置信区间1.36-3.22）和砧骨破坏（1.65; 1.01-2.71）。结论：作者已经成功地确定了初次手术时可能对术后产生重大影响的多种因素。

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