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岩尖胆脂瘤的诊断与治疗
DIAGNOSIS AND TREATMENT OF PETROUS APEX CHOLESTEATOMA
【摘要】 目的:讨论岩尖胆脂瘤的诊断与治疗。方法:总结了4例岩尖胆脂瘤的回顾性资料。结果:4例均有重度耳聋、眩晕、面瘫及慢性中耳炎病史,颞骨CT扫描作出诊断,并经迷路———耳蜗径路全部切除岩尖胆脂瘤。结论:认为颞骨CT扫描及MRI对临床诊断及手术径路的选择有重要作用。经迷路———耳蜗径路为彻底清除胆脂瘤,处理面神经及脑脊液漏提供了最直接的通道
【Abstract】 Objective: To study the diagnosis and treatment of petrous apex cholesteatoma.Methods:A retrospective review was made of 4 patients with petrous apex choleseatoma.Results:The 4 cases presented severe hearing loss,vertigo,facial paralysis and chronic otitis media before operation.The diagnosis was made by computed tomography scanning.The 4 patients were operated on through the translabyrinthine transcochlear approach.Conclusion:Computed tomography scanning or magnetic resonance imaging is essential for diagnosis and presurgical planning.The translabyrinthine transcochlear approach provides a direct route for complete removal of cholesteatoma,and management of facial nerve and cerebrospinal fluid leak
【Key words】 Cholesteatoma Petrous apex Otitis media Facial nerve paralysis;
- 【文献出处】 中国耳鼻咽喉颅底外科杂志 ,CHINESE JOUNAL OF OTORHINOLARYNGOLOGY-SKULL BASE SURGERY , 编辑部邮箱 ,1998年03期
- 【分类号】R764.2
- 【被引频次】7
- 【下载频次】140