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目的 :探讨胆脂瘤复发和残留的因素 ,以及乳突再次手术的方法。方法 :回顾性分析 2 7例胆脂瘤性中耳炎术后复发或病变残留乳突再次手术的临床随访资料。结果 :再次手术是安全的 ,干耳率 92 6 % ,听力改善 6耳 ,听力下降 5耳 ,无变化16耳。结论 :胆脂瘤性中耳炎术后复发或病变残留最好是尽早再次手术。选择恰当的手术方式 ,彻底仔细地清除病灶 ,可以达到干耳及减少并发症的目的。
Objective: To explore the recurrence and residual factors of cholesteatoma and the method of reoperation of mastoid. Methods: Clinical follow-up data of 27 cases of cholesteatoma otitis media with recurrent or residual residual papillae after operation were retrospectively analyzed. Results: Reoperation was safe with 92.6% of dry ears, 6 ears with hearing improvement, 5 ears with hearing loss, and no change of 16 ears. Conclusions: It is best to reoperate as soon as possible after cholesteatoma otitis media with recurrent or residual disease. Choose the appropriate surgical approach, thoroughly carefully remove the lesion, can achieve the purpose of dry ears and reduce complications.