The investigation of the strategy of surgical treatment of cholesterol granuloma in the middle ear.
10.13201/j.issn.1001-1781.2012.04.012
- Author:
Wei HOU
1
;
Jipeng GUO
;
Hongjun XIAO
Author Information
1. Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Child;
Cholesteatoma, Middle Ear;
surgery;
Ear Diseases;
surgery;
Ear, Middle;
Female;
Granuloma;
surgery;
Humans;
Male;
Middle Aged;
Retrospective Studies;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2012;26(4):157-159
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the surgical treatment of cholesterol granuloma in middle ear.
METHOD:Nineteen patients of cholesterol granuloma in middle ear were retrospectively study. All the patients were treated with tympanic tube insertion, canal wall up mastoidectomy or intact-tympanic canal wall down mastoidectomy respectively.
RESULT:All the cases were followed up from 6 months to 3.3 years. Two patients recurred among the 4 patients treated with tympanic tube insertion, 3 patients recurred among 8 patients treated with canal wall up mastoidectomy, and no recurrence was found among 7 patients treated with intact-tympanic canal wall down mastoidectomy. 12 patients had their hearing improved obviously among 14 patients without recurrence.
CONCLUSION:For the juvenile patients with a short medical history occurred for the first time, tympanic tube insertion merely is a rea sonable choice after the factor of obstruction of the pharyngotympanic tube was removed. For the patients with a long medical history and comprehensive lesions, or occurred repeatedly after being treated with tympanic tube in sertion or canal wall up mastoidectomy, the intact-tympanic canal wall down mastoidectomy should be a good choice.
