若年小児の真珠腫

概要

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This paper is based on 21 cholesteatomas and 15 simple chronic ears operated on in children under the age of 10. The clinical history, pathology and results of meatotympanoplasty were presented with the purpose of demonstrating whether the cholesteatomatous ear in young children had special characteristics and behavior.The condition of the disease in acquired cholesteatoma in young children was characterized by a poor function of the Eustachian tube of varing degrees which caused the extention and rapid growth of the disease. In some cases, cholesteatoma had an otoscopic appearance of originating from the adhesive process with retraction of the attic or tympanic membrane. The prognosis were poor compared with simple chronic otitis media. Meatotympanoplasty for acquired cholesteatoma should not be attempted unless good tube function is present.
耳鼻咽喉科臨床学会の論文