【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更多还原

【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更多还原