段階手術を行った真珠腫性中耳炎の術後成績

• 竹村 栄毅

  昭和大学藤が丘病院耳鼻咽喉科

• 松井 和夫

  昭和大学藤が丘病院耳鼻咽喉科

• 永瀬 大

  昭和大学藤が丘病院耳鼻咽喉科

• 小林 斉

  昭和大学藤が丘病院耳鼻咽喉科

• 窪田 哲昭

  昭和大学藤が丘病院耳鼻咽喉科

書誌事項

タイトル別名

• Results of our new staged operation for cholesteatoma.

抄録

There are several and various operative procedures for cholesteatoma, but postoperative problems sometimes occure as recurrence following residual cholesteatoma or postoperative retraction pocket. Our operative procedure is “Open & Closed method”, and we perform staged operation for residual cholesteatoma, and a new surgical approach by using the auricular cartilage for the attic reconstruction for recurrence of cholesteatoma of retraction pocket.<BR>From May 1993 to April 1998 we performed tympanoplasty in 102 ears with fresh cholesteatoma and 36 cases of them underwent second-stage surgery (first stage operation→type III 15 ears & first stage operation→type IV 21 ears), 55 cases underwent single-stage surgery and 11 cases the first-stage alone. We investigated the 36 cases operated by staged tympanoplasty. Residual cholesteatomas were found in 13 cases (36%) at second stage operation and we removed residual cholesteatoma in all cases. After second stage operation there was no evidence of residual cholesteatoma, but in only one case showed recurrence following to retracion pocket.<BR>Respectively the rate of success of hearing was 73% in first stage operation→type III, 81% in first stage operation→type IV and as a whole 78% in staged tympanoplasty.

収録刊行物

• Ｏｔｏｌｏｇｙ　Ｊａｐａｎ

  Ｏｔｏｌｏｇｙ　Ｊａｐａｎ 10 (3), 186-191, 2000

  一般社団法人　日本耳科学会

キーワード

• residual cholesteatoma
• staged tympanoplasty
• canal wall down
• canal reconstraction

詳細情報

• CRID: 1390001204769436288
• NII論文ID: 10009320322
• NII書誌ID: AN10358085
• DOI: 10.11289/otoljpn1991.10.186
• ISSN: 18841457
• ISSN: 09172025
• Web Site: https://search.jamas.or.jp/link/ui/2001012661
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可