中国耳鼻咽喉头颈外科2016，Vol.23Issue(7)：402-405,4.DOI:10.16066/j.1672-7002.2016.07.010
中耳胆固醇肉芽肿病例分析及诊治
Diagnosis and treatment of cholesterol granuloma of the middle ear
郭思荃 1关兵 1张俊中1
作者信息
- 1. 扬州大学临床医学院，苏北人民医院耳鼻咽喉头颈外科，江苏 扬州 225001
- 折叠
摘要
Abstract
OBJECTIVE To discuss the diagnosis and treatment of cholesterol granuloma of the middle ear and the choice and effect of surgical methods. METHODS A retrospective analysis was conducted on 18 cases of cholesterol granuloma of the middle ear confirmed by surgery and pathology. Different choices of surgical methods were made according to the lesion extension of this disease. RESULTS All patients were followed up for at least 6 months. Two cases with eustachian tube obstruction had ventilation tube inserted for a long time. One case who had recurrence and metastasis of nasopharyngeal carcinoma in the middle ear was transferred to oncology department for further treatment. Post-operative dry ears were obtained in the other cases whose pure tone thresholds were improved to different degrees. CONCLUSION Etiology of cholesterol granuloma of middle ear remains controversial. It's supposed to result from the bleeding, occlusion of ventilation and disturbance of drainage of the air cavity because of the middle ear inflammation, and bone marrow exposure. The middle ear and mastoid surgery can completely remove the disease tissues, and establish ventilation system of mastoid-tympani-eustachian, which is the key point of the middle ear surgery.关键词
中耳/胆固醇/肉芽肿/耳外科手术Key words
Ear, Middle/Cholesterol/Granuloma/Otologic Surgical Procedures引用本文复制引用
郭思荃,关兵,张俊中..中耳胆固醇肉芽肿病例分析及诊治[J].中国耳鼻咽喉头颈外科,2016,23(7):402-405,4.
