本文用带蒂颞肌瓣修复胆脂瘤型中耳炎并发脑脊液耳漏1例,报告如下。 黄某,男,7岁,因右耳反复流脓,听力减退4年,近流脓复发伴耳痛,头痛,发烧,抽搐10天,于1986年5月3日急诊入院。体温36.7℃,脉搏92次/min,表情淡漠。右耳廓耸立前移,乳突部红肿有波动感,外耳道后上壁塌陷,鼓膜紧张部大穿孔,有较多血脓性分泌物。神经系统检查未引出病理反射。白细胞1.6×1O~9/L,中性73％。X线摄片检查诊断为:右侧乳突炎并胆脂瘤形成。患儿不配合,无法行听力检查。全麻下行右侧乳突根治术,术中见乳突外板有破损,骨面有肉芽及脓栓。中耳腔内充满肉芽组织及胆脂瘤,未见砧骨,仅剩锤骨头将其清除,鼓膜大 This article with pedunculated temporal muscle flap for the repair of cholesteatoma otitis media in 1 case of cerebrospinal fluid leakage, the report is as follows. Hwang, male, 7 years old, was repeatedly emptied from the right ear, hearing loss for 4 years, nearly empyema recurrence with otalgia, headache, fever, convulsions for 10 days, on May 3, 1986 emergency admission. Body temperature 36.7 ℃, pulse 92 beats / min, expression indifferent. Right auricle towering forward, swollen mastoid swelling and flu, the upper wall after the external auditory canal collapse, tympanic membrane Department of large perforation, more purulent discharge. Neurological examination did not elicit pathological reflexes. WBC 1.6 × 10 ~ 9 / L, 73% neutral. X-ray examination diagnosed as: right mastoid and cholesteatoma formation. Children do not cooperate, unable to perform hearing tests. Under general anesthesia right mastoidectomy, surgery see the papillary outer plate is damaged, the bone surface with granulation and pus suppository. Middle ear cavity filled with granulation tissue and cholesteatoma, no incus, only to remove the hammer bone, large tympanic membrane