耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
10歳以下の癒着型真珠腫に対する鼓室形成術
児玉 章細川 誠二足守 直樹山元 理恵子岩渕 史郎
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2005 年 98 巻 3 号 p. 191-199

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Tympanoplasty with canal reconstruction was performed on 16 ears with adhesive type cholesteatoma from 15 children of less than 10 years old during 1998-2002. A staged operation was performed in 14 ears and one-staged in two ears.
Our postoperative results of tympanoplasty in the patients were satisfactory as follows.
There was no recurrence of cholesteatoma in 15 of the 16 ears. In only one ear an extremely small pearl-like residual cholesteatoma was easily removed in a second operation. Also there was no recurrence of adhesion of the tympanic membrane in 15 ears, except for one ear in which partial adhesion still existed after a second operation.
Thus, tympaoplasty for adhesive type cholesteatoma in young children seems to be useful for preventing the recurrence of cholesteatoma, and for the restoration of the adhesive tympanic membrane to the normal position.
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