真珠腫性中耳炎の外来・入院での取扱い

概要

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Although surgery is considered the fundamental treatment for cholesteatoma. Nonsurgical treatment is available for some patients. We report the details of the indication s of non-surgical treatment against cholesteatoma and also the result of surgical treatment of cholesteatoma in our department. Cholesteatoma which can be treated without operation are a s follows: Those that resemble a post-operative state of the open method and easily dryup by cleaning. Shallow and wide frontage of invagination of matrix Restoring ventilation of mastoid antrum and tympanic cavity with treatment. The result of surgical treatment are as follows: We had 137 cases (93 ears) of ear surgery in our department from February 1,1988through September 30,1990. Cholesteatoma accounted for 95 cases and 69.5%. We used staged operations or reviewing operations against cholesteatomas. Good results ware obtained in 77.4% of the cases of cholesteatoma,63.9% of the cases of chronic otitis media or others and 70.1% of all the cases. Reperforation (23.4%), lateral position of ear drum (10.2%), lowering of hearing ability (3.6%), retruction pocket (2.2%) and residual cholesteatoma (7.9%) ware observed as sequelse of operations.
耳鼻咽喉科臨床学会の論文