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自1967年起,12年中共行中耳胆脂瘤手术103例,男与女的数字相等,年龄2—63岁,92例是初次手术,11例是复发胆脂瘤的再次手术,92例中胆脂瘤的位置:24例在上鼓室,39例在上鼓室及两窗,29例胆脂瘤向鼓窦及乳突扩展。89例作中耳重建:21例听骨链完整,其中2例听骨链固定;其余68例中,37例镫骨完整,而砧骨有部份或全部破坏,31例足板正常,镫骨头和镫骨脚破坏。作者根据病人的年龄、胆脂膜的位置,听骨链的病变,是否有并发症等不同情况,对中耳胆脂瘤选择不同的手术操作。103例中,14例作乳突根治术,89例作重建术。在重建术
Since 1967, 103 cases of middle ear cholesteatoma performed in 12 years. The figures for men and women were equal, ranging in age from 2 to 63 years. 92 were primary surgeries, 11 were reoperations for recurrent cholesteatoma and 92 Middle cholesteatoma location: 24 cases in the tympanic cavity, 39 cases in the tympanic and two windows, 29 cases of cholesteatoma to the drum sinus and mastoid expansion. 89 cases of middle ear reconstruction: 21 cases of complete ossicular chain, of which 2 cases of ossicular chain fixation; the remaining 68 cases, 37 cases of stapes complete, and some or all of the incus damage, 31 cases of normal foot plate, 镫Bones and tarsal foot damage. According to the patient’s age, the location of cholecystitis membrane, lesions of the ossicular chain, whether there are complications and other different situations, choose different surgical procedures for the middle ear cholesteatoma. In 103 cases, 14 cases were treated by radical mastoidectomy and 89 cases were treated by reconstruction. In reconstruction surgery