关键词: Congenital ear malformations cholesteatoma middle ear inflammation middle ear surgery

Mesh : Child Humans Mastoid / surgery Retrospective Studies Ear Canal / surgery abnormalities Constriction, Pathologic Cholesteatoma / complications diagnosis surgery Ear, Middle Inflammation / complications Cholesteatoma, Middle Ear / complications diagnosis surgery

来  源:   DOI:10.1080/00016489.2023.2299689

Abstract:
UNASSIGNED: The optimal timing for surgery to promote postoperative recovery in children with congenital stenosis of the external auditory canal with external auditory canal cholesteatoma, who are susceptible to exudative inflammation of middle ear and mastoid process, is still uncertain.
UNASSIGNED: To investigate the treatment of congenital stenosis of external auditory canal with external auditory canal cholesteatoma complicated with exudative inflammation.
UNASSIGNED: A retrospective analysis of 45 patients with congenital stenosis of external auditory canal with external auditory canal cholesteatoma complicated with mastoiditis. Based on whether effusion had resolved at the time of surgery, the patients were divided into two groups. Pure-tone audiometry tests were performed before and after surgery for both groups.
UNASSIGNED: The average postoperative duration of dry ear was 36.38 days in Group 1 and 47.90 days in Group 2 (p < 0.05). Among patients who underwent hearing reconstruction, the average air conduction threshold decreased by 15-36 dBHL in Group 1 and by 7-22 dBHL in Group 2 (p < 0.05).
UNASSIGNED: The postoperative outcomes of dry ear and hearing improvement can be enhanced by performing operation after effusion resolution in cases of congenital external auditory canal stenosis with external auditory canal cholesteatoma exudative inflammation.
摘要:
促进先天性外耳道狭窄合并外耳道胆脂瘤患儿术后恢复的最佳手术时机,容易受到中耳和乳突渗出性炎症的影响,仍然不确定。
探讨先天性外耳道狭窄合并外耳道胆脂瘤伴渗出性炎症的治疗方法。
45例先天性外耳道狭窄伴外耳道胆脂瘤合并乳突炎患者的回顾性分析.根据手术时积液是否已经消退,将患者分为两组。两组均在手术前后进行纯音测听测试。
第1组术后干耳的平均持续时间为36.38天,第2组为47.90天(p<0.05)。在接受听力重建的患者中,第1组的平均空气传导阈值降低了15-36dBHL,第2组的平均空气传导阈值降低了7-22dBHL(p<0.05)。
在先天性外耳道狭窄伴外耳道胆脂瘤渗出性炎症的情况下,通过在渗出性消退后进行手术可以增强干耳和听力改善的术后效果。
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