中华耳科学杂志2017,Vol.15Issue(4):416-419,4.DOI:10.3969/j.issn.1672-2922.2017.04.006
耳内镜下经耳道入路治疗局限性上鼓室胆脂瘤
Transcanal Endoscopic Management of Limited Attic Cholesteatoma
杨琼 1张全明 1曾楠 1刘成 1李巧珍 1杨娟1
作者信息
- 1. 深圳市南山区人民医院耳鼻喉科 深圳518052
- 折叠
摘要
Abstract
Objective To report transcanal endoscopic atticotomy and reconstruction for management of limited attic cholesteatoma. Methods Data from patients with epitympanic cholesteatoma who received transcanal operation ex-clusively by endoscopy from January 2015 to March 2017 were analyzed retrospectively. Surgical indications and tech-nique were particularly presented. Results A total of 21 patients were included for cholesteatoma confined anterior to the antrum and not passing the lateral semicircular canal. Key surgical points were scutum removal, clearance of tympan-ic cholesteatoma and reconstruction of ear canal with cartilage or cartilage-perichonfrium complex. No facial palsy, men-ingitis, labyrinthitis or sensorineural deafness occurred after operation. Conclusions As a reliable alternative for tradi-tional microscopic surgery, transcanal endoscopic atticotomy and reconstruction is worth to be popularized for its mini-mal invasiveness and low rate of cholesteatoma recurrence.关键词
胆脂瘤,中耳/内镜/耳道Key words
Cholesteatoma/Middle Ear/Endoscopy/Ear Canal分类
医药卫生引用本文复制引用
杨琼,张全明,曾楠,刘成,李巧珍,杨娟..耳内镜下经耳道入路治疗局限性上鼓室胆脂瘤[J].中华耳科学杂志,2017,15(4):416-419,4.