耳内镜下经耳道入路治疗局限性上鼓室胆脂瘤

发布时间：2018-04-23 02:06

本文选题：胆脂瘤 + 中耳　；参考：《中华耳科学杂志》2017年04期

【摘要】：目的介绍耳内镜下经耳道入路上鼓室切开重建技术治疗局限性上鼓室胆脂瘤。方法回顾性分析2015年1月~2017年03月间单纯用耳内镜完成的上鼓室胆脂瘤病例,重点介绍手术适应症和手术技术。结果以胆脂瘤病变范围在鼓窦入口以前、未向后越过外半规管凸为标准,共21例患者纳入本研究。手术关键为切开盾板,清除鼓室内胆脂瘤病变,用软骨或软骨-软骨膜复合体重建外耳道。所有患者术后未发生面瘫、脑膜炎、迷路炎及感音性耳聋等并发症,未见胆脂瘤复发。结论耳内镜下经耳道入路上鼓室切开重建技术是有别于传统显微镜手术的另一选择,手术创伤小,且能减少胆脂瘤复发,是值得推广的手术方法。
[Abstract]:Objective to introduce endoscopic tympanotomy and reconstruction through auditory meatus for the treatment of localized epigmpanic cholesteatoma. Methods from January 2015 to March 2017, the cases of attic cholesteatoma with endoscope were analyzed retrospectively, and the indications and techniques of operation were introduced. Results 21 cases of cholesteatoma were included in this study according to the extent of cholesteatoma before the entrance of the tympanic sinus and no retrograde protruding to the external semicircular canal. The key points of the operation were incision of shield plate, removal of cholesteatoma in tympanic chamber and reconstruction of external auditory canal with cartilage or chondrochondroid complex. There were no complications such as facial paralysis, meningitis, labyrinthitis and sensorineural deafness, and no recurrence of cholesteatoma. Conclusion Endoscopic tympanotomy and reconstruction via auditory meatus is an alternative to the traditional microscopical surgery. The operation is less traumatic and can reduce the recurrence of cholesteatoma. It is worth popularizing.
【作者单位】：深圳市南山区人民医院耳鼻喉科;
【分类号】：R764.9

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