- 期刊
Management of Labyrinthine Fistula in Middle Ear Cholesteatoma
中耳膽脂瘤併迷路瘻管之治療
摘要
迷路瘻管為慢性中耳炎併膽脂瘤的合併症之一。本文提出五例膽脂瘤併發迷路瘻管之處理，將膽脂瘤基質完全移除，應用canal wall down 鼓室成形術，加上封閉部分乳突空腔。術後病患眩暈獲得緩解。氣導性聽力方面，一例改善，三例惡化；感音性聽力方面，兩例獲得保留，兩例惡化。（另外一例接受鼓室成形術第0型。）術後追蹤期間，所有病例之耳漏均獲改善，膽脂瘤亦無復發情形。對於此類病患，若其對側聽力仍在可接受範圍，可考慮施予此一單階段手術，免除病人接受第二次手術。
關鍵字
無資料並列摘要
Labyrinthine fistula is a complication of chronic otitis media with cholesteatoma. Canal wall down tympanoplasty with partial mastoid cavity obliteration and complete removal of cholesteatoma matrix was adopted in five cases of labyrinthine fistula. The operation resulted in elimination of vertigo. Sensory hearing has been saved in two cases. Air conduction hearing Improved in one case. In three cases whose air conduction deteriorated post-operatively, bone conduction worsened in two cases and remained unchanged in one case (Tympanoplasty type 0 was performed in the other one case.) During the follow-up period, otorrhea improved in all cases and there was no evidence of recurrence of cholesteatoma. If the hearing of the other ear Is acceptable, we suggest one-stage canal wall down tympanoplasty with complete removal of choiesteatoma matrix and partial mastoid cavity obliteration. It provides low recurrence rate of cholesteatoma and there is no need of re-operation.
延伸閱讀
- 林鴻清、徐銘燦、楊政謙、李振川、陳一豪（1995）。中耳膽脂瘤併發迷路瘻管。中華民國耳鼻喉科醫學會雜誌，30(5)，444-448。https://doi.org/10.6286/1995.30.5.444
- 賴政光、陳祖傑（2002）。先天性耳道狹窄併膽脂瘤及耳後膿瘍—病例報告。中華民國耳鼻喉科醫學雜誌，37(6)，465-469。https://doi.org/10.6286/2002.37.6.465
- 林凱南、許權振（1995）。非膽脂瘤慢性中耳炎手術之臨床教學經驗。中華民國耳鼻喉科醫學會雜誌，30(2)，184-191。https://doi.org/10.6286/1995.30.2.184
- Chi, H. P., Ho, K. Y., Chai, C. Y., Wang, L. F., Ta, C. F., Lee, K. W., Kuo, W. R., Wu, S. C., & Tsai, S. M. (2004). 中耳膽脂瘤之上皮細胞生長因子的表現. The Kaohsiung Journal of Medical Sciences, 20(1), 6-11. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200401-20-1-6-11-a
- 趙文元（1993）。中耳膽脂瘤。當代醫學，(242)，1022-1025。https://doi.org/10.29941/MT.199312.0017