开放式鼓室成形术治疗胆脂瘤中耳炎

Open tympanoplasty for otitis media with cholesteatoma

目的：探讨开放式鼓室成形术治疗胆脂瘤中耳炎的疗效。方法：对23例胆脂瘤中耳炎患者行开放式鼓室成形术。结果：随访1-3年,23耳全部干耳,无胆脂瘤复发,无眩晕和面瘫并发症。20例移植筋膜成活,2例鼓膜再穿孔,1例鼓膜疤痕内陷。术后纯音测听语言频率气导平均听阈,提高25-30 dBHL 5耳,提高15-20 dBHL 13耳,提高10 dBHL 2耳,无变化3耳。结论：为胆脂瘤型中耳炎患者行开放式鼓室成形术,能根治病变,听力恢复效果好,复发率低,是一种较为实用的手术方法。

Objective： To investigate the effect of open tympanoplasty for patients with cholesteatoma of the middle ear. “Method： Twenty-three ears with cholesteatoma were treated by open tympanoplasty. Results： During a follow-up of one to three years, all had dry ears without relapse and vertigo or facial paralysis. Among them, 20 cases had nomal tympanic membranes, 2 had perforation, and 1 had a sunken tympanic membrane. Heating was improved by 25 to 30 dBHL in 5 ears, 15 to 20 dBHL in 13 ears, 10 dBHL in 2 ears, and not improved in 3 ears. Conclusion： Open tympanoplasty should be carried out in treating otitis media with cholesteatoma to improve the heating and decrease relapse.