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作者等结合文献探讨在胆脂瘤时,保留外耳道术的复发率高,以及自体、异体、硅胶等材料重建外耳道中存在的问题。改用自体髂骨嵴游离骨片与颞肌瓣相结合的乳突腔充填术,并新创带骨颞肌瓣修复术,给29～55岁的胆脂瘤患者各作4例。前法中1例因术后感染而失败,余3例观察1(1/2)年听力满意。经造影证实骨性耳道形成。
The authors combined with the literature to explore the high recurrence rate of external auditory canal surgery in the treatment of cholesteatoma, as well as the problems existing in the reconstruction of the external auditory canal with autologous, allogeneic, silicone and other materials. The use of free iliac crest free bone flap and temporal muscle flap combination of mastoidectomy, and new bone with temporal muscle flap repair, to 29 to 55-year-old patients with cholesteatoma each for 4 cases. One case of the former method failed due to postoperative infection, and the remaining 3 cases were observed with satisfactory hearing for 1 (1/2) year. The angiography confirmed the formation of bony ear canal.