선천성 진주종의 수술 후 잔여 진주종 발생의 위험인자에 대한 고찰

김동규; 김형미; 서명환; 이준호; 오승하; 김종선; 장선오

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자료유형: 학술저널

저자정보: 김동규 김형미 서명환 이준호 오승하 김종선 장선오

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제51권 제2호

발행연도: 2008.1

수록면: 120 - 124 (5page)

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A higher residual rates after surgery have been reported in patients with congenital cholesteatoma than those with acquired cholesteatoma. The aim of this study was to document the risk factors of residual cholesteatoma after surgery for congenital cholesteatoma. Subjects and Method：From 1989 to 2006, 90 patients with congenital cholesteatoma treated at the Department of Otorhinolaryngology, Seoul National University Hospital were investigated retrospectively. Data were analyzed according to the location, type, stage, ossicular involvement, and initial surgery types for residual cholesteatoma. Results：Residual cholesteatoma was detected in 18.9% (17/90) of total patients. With respect to residual cholesteatoma, significant risk factors were found with the open type, mastoid involvement and stapes supra-structure erosion. On the other hand, location, initial surgery types did not show statistical significance. Conclusion：The Staged 2nd look operation should be performed for patients with congenital cholesteatoma, especially in either case of the open type, advanced stage or in the presence of supra-structure erosion. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:120-4)

#Cholesteatoma·Congenital·Risk factor·Residual.

참고문헌 (16)

참고문헌 신청

Iino Y / 1998 / Mastoid pneumaization in children with congenital cholesteatoma: An aspect of the formation of open-type and closed-type cholesteatoma / Larngoscope 108 (7)

Iino Y / 1998 / Risk factors for recurrent and residual cholesteatoma in children determined by second stage operation / Int J Pediatr Otorhinolaryngol 46 (1) : 57 ~ 65

Kamarkar S / 1996 / Congenital cholesteatomas of the middle ear: A different experience / Am J Otol 17 (2) : 288 ~ 292

Kojima H / 2006 / Congenital cholesteatoma clinical features and surgical results / Am J Otolaryngol 27 (5) : 299 ~ 305

Levenson MJ / 1986 / A review of twenty congenital cholesteatomas of the middle ear in children / Otolaryngol Head Neck Surg 94 (4) : 560 ~ 567

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