진주종성 중이염을 동반한 소아에서 상고실성형술과유양동 폐쇄술의 결과 분석

배우용; 박동은; 강명구; 박병건; 이태훈

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자료유형: 학술저널

저자정보: 배우용 박동은 강명구 박병건 이태훈

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제6호

발행연도: 2005.1

수록면: 713 - 717 (5page)

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Background and Objectives：Cholesteatoma in children has a more aggressive growth pattern than observedin adults andoften involves the entire mastoid and tympanic cavity, which necessitates early surgical treatment. The rapid tissue growth, thegreater degree of infection and inflammation brought on by the Eustachian tube, and well pneumatized mastoid are the majorcontributing factors for cholesteatoma being so extensive in children. In this study, we evaluated the result of epitympanoplastyand mastoid obliteration in cholesteatoma of children. Subjects and Method：The operation was performed in 28 childrenpatients under the age of 15 from May 11, 1995 to August 13, 2003. They were 3 congenital and 25 acquired cholesteatomacases, which were accompanied by 4 cases of adhesive otitis media, 1 case of external auditory canal cholesteatoma, and 1 caseof congential aural atresia that developed after two operations of canaloplasty. Results：Of the 28 cases, 6 underwent one-stagedoperation and 8 underwent second-look operations, respectively. In 3 of the 8 cases that underwent second look operation,there was residual cholesteatoma in the tympanic cavity, and cholesteatoma was removed. After operation, there was no recurrentcholesteatoma. Among the 13 cases of ossiculoplasty, 9 could have the test of pure tone audiogram, and 5 cases could preservepostoperative air-bone gap within 30 dB. Conclusion：It is expected that epitympanoplasty with the mastoid obliteration techniquereduces the air-burden of E-tube in children of cholesteatoma, and the technique probably can prevent the formation ofretraction pocket and recurrence of cholesteatoma.

#상고실성형술·유양동폐쇄술·소아·진주종. #Epitympanoplasty·Mastoid obliteration·Child·Cholesteatoma.

참고문헌 (13)

참고문헌 신청

Cho YS / 2001 / Changesin external ear resonance after 3 types of surgery in the patientswith chronic otitis media 125 : 364 ~ 9

Contencin P / 1988 / Cholesteatomain children 40 : 131 ~ 7

Glasscock E / laryngoscope1981 / Cholesteatoma in children : 1743 ~ 53

Kang MK / 2000 / Epitympanoplasty with mastoid obliteration after tympanomastoidsurgery:A comparison of three different methods in 95 cases 11 : 273 ~ 9

Kang MK / 2000 / Epitympanoplasty with mastoid obliterationtechnique in only/better hearing ears Proceedings of the Sixth International Conference on Cholesteatomaand Ear sur

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