摘要
目的 :探讨外耳道胆脂瘤的临床特点 ,总结临床诊治经验。方法 :回顾分析 2 3例外耳道胆脂瘤患者的临床资料。结果 :2 3例患者多有耳痛 ,耳闷胀感 ,耳鸣 ,听力下降等症状 ,鼓膜多不受影响。听力检查多有传导性聋。 2 0例局麻下顺利清除外耳道胆脂瘤及病变组织 ,再用油纱条填塞外耳道。 3例胆脂瘤型中耳炎行乳突根治术。术后 5例听力明显提高 ,15例听力恢复 ,随访 3月至 1年无 1例复发。结论 :外耳道胆脂瘤虽属炎性病变 ,但有肿瘤样的生物学行为 。
Objective:To explore the clinical characteristics of the cholesteatoma of external acoustic meatus and summarize the experience of clinical diagnosis and treatment.Method:The clinical data of 23 cases with the cholesteatoma of external acoustic meatus were reviewed retrospettively.Results:Twenty-three cases had otalgia ,tinnitus or deafness,aural fullness ,normal tympanic membrane.There were only slight finding such as otorrhea, ear covered with cerumen.6 cases had otitis externa,8 cases had bone discovered and distoried or bad bone formed, 3 cases had cholesteatomatous otitis media.Conductive deafness was showed in Weber test.Epitmpanum was corroded by cholesteatoma in 3 cases. Through local anesthexia all ,cholesteatoma of external acoustic meatus were rightly eliminated,then external acoustic meatus was rammed with oil gauze.3 cases were operated with radical mastoidectomy.The hearing were improved obviously and with no recurrence after three months to one year′s follow-up. Conclusion:The cholesteatoma of external acoustic meatus belongs to inflammation. Therefore, otolaryngologist must pay more attention to the cholesteatoma of external acoustic meatus.
出处
《山东大学基础医学院学报》
2003年第6期329-330,共2页
Journal of Preclinical Medicine College of Shandong Medical University
