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目的探讨儿童外耳道胆脂瘤临床特点和治疗方法。方法分析21例4~12岁患者的临床资料。结果 21例均以患耳疼痛、渗液就诊,有血性液17例,CT报告为外耳道软组织样影。12例外耳道内段扩大;8例鼓膜内移;4例侵入中耳。术中见胆脂瘤为黄白发亮或干酪样,13例外耳道骨部皮肤不同程度缺损;10例鼓膜后上象限上皮受损;5例鼓膜穿孔;2例锤骨柄破坏。结论外耳道胆脂瘤侵袭破坏性强,早期症状隐匿,多在耳痛、感染时发现,应早期发现并及时正确治疗。
Objective To investigate the clinical characteristics and treatment of external auditory canal cholesteatoma in children. Methods Clinical data of 21 patients aged 4 to 12 years were analyzed. Results All the 21 cases were suffering from ear ache, exudate treatment, bloody fluid in 17 cases, CT report of external auditory canal soft tissue sample. 12 cases of internal auditory canal enlargement; 8 cases of tympanic membrane shift; 4 cases of invading the middle ear. In operation, cholesteatoma was yellowish-white or cheese-like. Thirteen cases of external auditory canal had different degrees of defect in the skin of the external auditory meatus. Ten cases suffered from upper posterior quadrant eardrum epithelium damage, five cases of tympanic membrane perforation, and two cases of mastodial destruction. Conclusion External auditory canal cholesteatoma invasion destructive, the early symptoms of concealment, and more in the earache, infection found that early detection and timely and correct treatment.