中华耳科学杂志Issue(2)：247-249,3.DOI:10.3969/j.issn.1672-2922.2013.02.019
儿童外耳道胆脂瘤的早期诊断与治疗
Early Diagnosis and Treatment of External Auditory Canal Cholesteatom in Children
史霞 1刘志印1
作者信息
- 1. 郑州市儿童医院耳鼻喉科 郑州450053
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics of external auditory canal cholesteatoma in children and its early diagnosis. Methods Clinical and imaging features of external auditory canal cholesteatoma in 21 children treated in our hospital from 2007 Jan to 2009 Dec were analyzed. Treatment methods:In 10 cases in which the lesion was localized and the patient was able to cooperate, the lesion was removed on an outpatient basis in the office. The lesion was removed un-der general anesthesia in the rest 11 cases via surgical operation. Results Ear pain, itching or bloody drainage were the com-mon complaints in all 21 cases. Examination revealed purulent or hemorrhagic discharge in the external auditory meatus in 17 cases;a shiny white or yellow-white mass in 12 cases;external auditory canal swelling in 8 cases and granulation in 5 cases. CT scan showed soft tissue opacity in the external auditory canal in 21 cases, deep ear canal enlargement in 12 cases;external auditory canal irregular erosion in 7 cases;tympanic scute destruction in 4 cases;tympanic membrane shift in 8 cases;involve-ment of the epitympanum in 3 cases and of the mastoid in 1 case. Intra-operatively, skin damage in the deep ear canal was seen in 13 cases;epithelial damage over the superoposterior tympanic membrane in 10 cases;pars tensa perforation in 2 cases;and pars flaccida perforation in 3 cases. No recurrence was found during the 6 months to 2 years follow up in the 21 cases. Conclusions External ear canal cholesteatoma can cause extensive damage to surrounding structures with occult early symp-toms in children, often presenting with pain or infection. Early detection and prompt treatment of the lesion is important in avoiding serious complications.关键词
外耳道胆脂瘤/诊断/治疗方法/儿童Key words
External auditory canal cholesteatoma/diagnosis/child分类
医药卫生引用本文复制引用
史霞,刘志印..儿童外耳道胆脂瘤的早期诊断与治疗[J].中华耳科学杂志,2013,(2):247-249,3.
