8例隐匿性中耳炎临床诊治分析

Diagnosis and Management in 8 Cases of Silent Otitis Media

目的探讨隐匿性中耳炎的诊断与治疗。方法通过回顾分析8例隐匿性中耳炎患者资料,分析发病特点及总结治疗经验。结果 8例隐匿性中耳炎均曾被误诊,经CT检查和手术探查证实诊断,4例中耳乳突腔内有大量肉芽组织及胆固醇结晶,4例为胆脂瘤。听小骨均不同程度破坏。经手术治疗取得良好效果。结论对于鼓膜完整的隐匿性中耳炎患者行颞骨CT能得到疾病的正确诊断,一旦确诊需及时手术。

Objective To report diagnosis and treatment of silent oitis media cases. Methods This is a retrospective analysis of clinical characteristics and treatment in patients with silent otitis media. Results All 8 cases were misdiagnosed at least once. Their final diagnoses were confirmed by CT and surgical exploration. Granulation and cholesterol crystal present in 4 cases, and cholesteatoma in mastoid was discovered in the other 4 cases by surgical findings. Complete disease eradica？tion and healing were achieved in all cases. Conclusions For silent otitis media with intact eardrum, diagnosis can be greatly facilitated by temporal bone CT, followed by surgical management once diagnosis is confirmed.