中华耳科学杂志Issue(3)：412-414,3.DOI:10.3969/j.issn.1672-2922.2014.03.014
颞骨先天性胆脂瘤并发周围性面瘫的诊治
Diagnosis and Treatment of Congenital Cholesteatoma in Temporal Bone with Facial Paralysis
摘要
Abstract
Objective To study the diagnosis and the treatment of temporal bone congenital cholesteatoma with facial paralysis. Methods The clinical data of 7 patients treated in our department between April 2001 and April 2014 were re-viewed. Results All the 7 patients recovered well without postoperative complications. There is no sign of recurrence of cho-lesteatoma during the 2 months to 14 years follow-up. Facial nerve function was completely recovered in 3 patients, partially improved in 2 patients, and showed no obvious improvement in 2 patients. As for hearing function, 5 patients ended up with total deafness in the affected ear, of whom 3 were diagnosed with dead labyrinth before surgery and 2 received partial labyrin-thectomy due to inner ear invasion of cholesteatoma. In the other 2 patients, hearing improved by 15 dB in 1 patient and re-mained unchangeable in the other postoperatively. Conclusions Early detection is the key to lower incidence of facial paraly-sis in temporal bone congenital cholesteatoma and to obtain satisfactory postoperative outcomes.关键词
胆脂瘤/先天性/面神经麻痹/外科手术Key words
Cholesteatoma/Congenital/Facial paralysis/Surgical operation分类
医药卫生引用本文复制引用
马慧敏,陈智斌,周涵,赵晓埝,李芳丽,邢光前..颞骨先天性胆脂瘤并发周围性面瘫的诊治[J].中华耳科学杂志,2014,(3):412-414,3.基金项目
江苏省“科教兴卫工程”医学创新团队与领军人才基金 （）
