中国耳鼻咽喉颅底外科杂志2025，Vol.31Issue(5)：27-31,5.DOI:10.11798/j.issn.1007-1520.202524411
两种不同手术入路治疗耳道狭窄并复发性中耳胆脂瘤的临床疗效分析
Analysis of the therapeutic effect of two different surgical approaches for the treatment of recurrent middle ear cholesteatoma with ear canal stenosis
摘要
Abstract
Objective To investigate the clinical effect of endoscopic approach with eversion external auditory canal flap and microscopic mastoid approach for the treatment of recurrent middle ear cholesteatoma with ear canal stenosis.Methods Clinical data of 60 patients(60 ears)with recurrent middle ear cholesteatoma with ear canal stenosis who underwent surgery at the Northern Jiangsu People's Hospital Affiliated to Yangzhou University from June 2021 to January 2024 were retrospectively studied.Of them,29 cases underwent surgery via endoscopic approach with eversion external auditory canal flap(endoscopic group)and 31 underwent microscopic mastoid surgery(microscopic group).The operation time,postoperative pain,complications and recurrence rate in both groups were evaluated and compared.Results There were no significant differences in demographics,disease characteristics,complications,and recurrence rate between the two groups(P＞0.05).The differences in operation time and visual analogue scale scores of postoperative pain between the two groups were statistically significant(P＜0.05),and the endoscopic group took less time,experienced less pain and had more advantages.Conclusions Endoscopic surgery with eversion external ear canal flap is an effective surgical method for the treatment of recurrent middle ear cholesteatoma with ear canal stenosis.Performed by an experienced surgeon,the efficacy of endoscopic approach is similar to that of endoscopic mastoid approach,with less operation time and less postoperative pain.关键词
耳内镜/显微镜/外翻外耳道皮瓣/中耳/胆脂瘤/复发性Key words
Endoscope/Microscope/Eversion external auditory canal flap/Middle ear/Cholesteatoma/Recurrence分类
临床医学引用本文复制引用
王莹,关兵,徐丽,马伟,卢洁,吉欣雅,严齐,陆秀月,朱斌..两种不同手术入路治疗耳道狭窄并复发性中耳胆脂瘤的临床疗效分析[J].中国耳鼻咽喉颅底外科杂志,2025,31(5):27-31,5.基金项目
青年托举项目(SBQN24010,SBQN24006) （SBQN24010,SBQN24006）
扬州市指导项目(2023-4-05) （2023-4-05）
院扶持技术项目(FCJS202316,FCJS202539). （FCJS202316,FCJS202539）
