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1病例报告患者女,56岁。右耳外耳道新生物摘除术后4年,复发3年,于2012-06-13收入成都市第二人民医院耳鼻喉科。患者4年前因右耳流脓和听力下降,发现右外耳道新生物,于外院手术治疗,术后病理诊断不详;3年前发现复发伴右耳后反复流脓和恶臭,新生物渐长大,为手术治疗入院。查体:右外耳道口见巨大肉芽样新生物堵塞,质软,无压痛,右耳垂后下方可见一瘘口,脓性分泌物聚积。CT检查示,右外耳道下壁部分骨质破坏,右外耳道、中耳腔、中耳乳突窦和上鼓室内见中等密度软组织充填,边缘不清,右侧乳突气化差,密度增高(图1)。
A case report patient female, 56 years old. Right ear external auditory canal after 4 years of new biopsy, recurrence of 3 years, in 2012-06-13 income Second People’s Hospital of Chengdu ENT. 4 years ago due to the right ear pus and hearing loss, found that the right external auditory canal new creatures, surgery outside the hospital, postoperative pathological diagnosis is unknown; 3 years ago found recurring with right ear repeated pus and stench, the new creatures grew older , Admitted to hospital for surgery. Physical examination: see a large granuloma-like new right ear canal obstruction, soft, no tenderness, the right ear lobe can be seen below a fistula, purulent secretions accumulation. CT examination showed that the right external auditory canal lower part of the bone destruction, the right external auditory canal, middle ear cavity, middle ear mastoid sinus and upper drum chamber to see medium density soft tissue filling, marginal unclear, right mastoid gasification, increased density ( figure 1).