外耳道胆脂瘤的临床特点及治疗方式的选择

Clinical Analysis and Surgical Approach of External Auditory Canal Cholesteatoma

目的探讨外耳道胆脂瘤的临床特点和治疗方式的选择。方法分析我科2008～2011年诊治的18例外耳道胆脂瘤患者的临床资料。其中局限于外耳道的外耳道胆脂瘤12例,行外耳道胆脂瘤清除术;侵及中耳的外耳道胆脂瘤6例,行乳突根治术并进行鼓室成形术。术后随访6个月～3年。结果全部病例经手术治疗,术后未见复发,听力恢复良好。结论外耳道胆脂瘤的临床特点及病变范围决定其处理方式,治疗原则宜采用手术彻底清除胆脂瘤。

Objective To define the clinical features of cholesteatoma and external auditory canal treatment. Methods The clinical data of eighteen cases from 2008 to 2011 were retrospectively reviewed. Among the cases, 12 cases limited in external auditory canal were treated with focus clearance; 6 cases invading to middle ear were treated with mastoidotympanectomy and tympanoplasty; All patients were followed up with period of 6 months to 3 years. Results All patients treated by surgery, patients without recurrence, hearing a good recovery after the surgery. Conclusion The external auditory canal cholesteatoma clinical features and extent of the lesion to determine its approach, surgical treatment should be adopted in principle the elimination of cholesteatoma.