中华耳科学杂志2017，Vol.15Issue(3)：317-320,4.DOI:10.3969/j.issn.1672-2922.2017.03.008
中耳手术后并发化脓性耳廓软骨膜炎的治疗
Treatment of Auricular Perichondritis Secondary to Middle Ear Surgeries
郑铨艺 1柯朝阳 1龚桃根 1吕颜露 1鄢敏1
作者信息
- 1. 暨南大学第二临床医学院(深圳市人民医院)耳鼻咽喉科 深圳518020
- 折叠
摘要
Abstract
Objective To report experiences in the treatment of auricular perichondritis secondary to middle ear surgeries. Methods Clinical data of 9 patients who were admitted for auricular perichondritis after middle ear operation were retrospectively analyzed. Results Auricle soreness usually occurred 4 to 15 days (average 7.8 days) after the mid-dle ear operation. In 4 patients, where the auricular cartilage was not involved, peirchondritis resolved following antibi-otics treatment or/and incision and drainage without any deformity. Debridement (one to two times) was performed in 4 patients whose auricular cartilage were partly involved, resulting in minor residual deformity in one patient. The remain-ing one patient whose auricular cartilage was extensively involved was treated by radical surgical debridement and end-ed up with a"cauliflower ear". Conclusions Auricular perichondritis secondary to middle ear operation is often not di-agnosed properly. Initial treatment should include anti-pseudomonal antibiotics. Incision and drainage should be per-formed in cases in which an abscess has formed. Once the auricular cartilage is involved, prompt and thorough surgical debridement should be performed.关键词
软骨膜炎/耳廓/手术并发症/中耳手术/脓肿/清创术Key words
Perichondritis/Auricle/Postoperative Complications/Middle Ear Operation/Abscess/Debridement分类
医药卫生引用本文复制引用
郑铨艺,柯朝阳,龚桃根,吕颜露,鄢敏..中耳手术后并发化脓性耳廓软骨膜炎的治疗[J].中华耳科学杂志,2017,15(3):317-320,4.
