中国耳鼻咽喉颅底外科杂志2026，Vol.32Issue(2)：79-82,4.DOI:10.11798/j.issn.1007-1520.202624160
耳内镜下软骨填塞上鼓室在胆脂瘤手术中的临床应用
Clinical application of otoendoscopic tympanic cartilage packing in cholesteatoma surgery
摘要
Abstract
Objective To investigate the efficacy of endoscopic cartilage packing in the cholesteatoma treatment.Methods A total of twenty-six patients(26 ears)with cholesteatoma who underwent surgery from January 2019 to January 2023 were collected.The invaded epitympanic cholesteatoma in all patients was completely removed,and the epitympanic was filled with cartilage(tragus,concha cavity or nasal septum cartilage).The endoscopic examination and pure tone audiometry were reexamined at 6 months after operation.One year after operation,otoendoscopy was performed.Results The pure tone air conduction threshold audiometry was(41.25±2.39)dB HLbefore operation,which was(26.32±4.34)dB HL 6 months after operation.The pure tone bone conduction threshold audiometry was(26.45±5.39)dB HL before operation and(12.69±6.43)dB HL 6 months after operation.In all patients,there was no invagination of the lateral wall of the attic,and no recurrence of cholesteatoma six months after operation.One year after operation,1 case had invagination and recurrence of cholesteatoma 1/26(3.85%).Conclusion Cartilage packing can effectively prevent the invagination of the lateral wall of the attic,reduce the recurrence of cholesteatoma,and improve the hearing after operation.关键词
耳内镜/填塞/软骨/鼓室Key words
Otoendoscopic/Packing/Cartilage/Tympanic分类
医药卫生引用本文复制引用
张亚戈,李谊,岳玮,李硕,麻文来,温晓梅,胡浩磊,陈小雷..耳内镜下软骨填塞上鼓室在胆脂瘤手术中的临床应用[J].中国耳鼻咽喉颅底外科杂志,2026,32(2):79-82,4.基金项目
河南省医学科技攻关省部共建重点项目(SBGJ202102207). （SBGJ202102207）
