中耳胆脂瘤手术治疗进展

李陈; 王冰; 张韩; 杨双元; 杨婷; 韩想利; 刘晖; 张文

doi:10.13201/j.issn.2096-7993.2021.10.020

中耳胆脂瘤手术治疗进展

- 1.
  西安医学院(西安，710068)
- 2.
  陕西省人民医院耳鼻咽喉头颈外科
基金项目:
陕西省重点研发计划项目(No: 2018ZDXM-SF-048)

详细信息

通讯作者: 张文, E-mail: smileww@foxmail.com

中图分类号: R764.2

收稿日期: 2020-12-08

刊出日期: 2021-10-05

Advances in the surgical treatment of cholesteatoma of the middle ear

More Information

Corresponding author: ZHANG Wen, E-mail: smileww@foxmail.com

Received Date: 08 December 2020

Publish Date: 05 October 2021

摘要

- 中耳胆脂瘤 /
- 乳突根治术 /
- 内镜外科手术 /
- 激光
Abstract: Middle ear cholesteatoma, as a common ear disease, has been further understood in terms of its molecular mechanism, classification and staging, and it is generally believed that surgical treatment is the first choice, but there is no final conclusion on its surgical choice. Microscopic surgery includes complete or open radical mastoidectomy with or without reconstruction of the middle ear cavity, and their pros and cons have been debated for decades. In the past decade, a variety of surgical methods have been developed, including various improvements and combined operations that combine the advantages of traditional open radical mastoidectomy and complete mastoidectomy. On the other hand, the emergence of ear endoscopic surgery has opened up new surgical methods, as well as the use of laser and other new technologies to improve the surgical effect and prognosis, but also can not avoid their limitations and shortcomings. The purpose of this paper is to summarize the advantages and disadvantages of various surgical treatments for middle ear cholesteatoma in order to provide guidance and help for otologists in the treatment of middle ear cholesteatoma.
- middle ear cholesteatoma /
- radical mastoidectomy /
- endoscopic surgical procedures /
- lasers

HTML全文

参考文献(48)

[1]	Anikin IA, Bokuchava TA. [The peculiar clinical features of different types of acquired cholesteatoma of the middle ear][J]. Vestn Otorinolaringol, 2018, 83(3): 11-15. doi: 10.17116/otorino201883311
[2]	Yung M, Tono T, Olszewska E, et al. EAONO/JOS Joint Consensus Statements on the Definitions, Classification and Staging of Middle Ear Cholesteatoma[J]. J Int Adv Otol, 2017, 13(1): 1-8. doi: 10.5152/iao.2017.3363
[3]	Nevoux J, Lenoir M, Roger G, et al. Childhood cholesteatoma[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2010, 127(4): 143-150. doi: 10.1016/j.anorl.2010.07.001
[4]	Mokbel KM, Khafagy YW. Single flap with three pedicles, bone paté and split-thickness skin graft for immediate mastoid obliteration after canal wall down mastoidectomy[J]. Eur Arch Otorhinolaryngol, 2012, 269(9): 2037-2041. doi: 10.1007/s00405-011-1853-y
[5]	Dornhoffer JL, Friedman AB, Gluth MB. Management of acquired cholesteatoma in the pediatric population[J]. Curr Opin Otolaryngol Head Neck Surg, 2013, 21(5): 440-445. doi: 10.1097/MOO.0b013e32836464bd
[6]	Tomlin J, Chang D, McCutcheon B, et al. Surgical technique and recurrence in cholesteatoma: a meta-analysis[J]. Audiol Neurootol, 2013, 18(3): 135-142. doi: 10.1159/000346140
[7]	Vital V. Pediatric cholesteatoma: personal experience and review of the literature[J]. Otorhinolaryngol Head Neck Surg, 2011, 45: 5-14.
[8]	Carlson ML, Latuska RF, Pelosi S, et al. Evolving considerations in the surgical management of cholesteatoma in the only hearing ear[J]. Otol Neurotol, 2014, 35(1): 84-90. doi: 10.1097/MAO.0b013e3182a00495
[9]	Mehta RP, Harris JP. Mastoid obliteration[J]. Otolaryngol Clin North Am, 2006, 39(6): 1129-1142. doi: 10.1016/j.otc.2006.08.007
[10]	Deveze A, Rameh C, Puchol MS, et al. Rehabilitation of canal wall down mastoidectomy using a titanium ear canal implant[J]. Otol Neurotol, 2010, 31(2): 220-224. doi: 10.1097/MAO.0b013e3181c9960d
[11]	Chan CY, Chan YM. Mastoid obliteration and reconstruction: a review of techniques and results[J]. Proc Singap Healthc, 2012, 21: 23-29. doi: 10.1177/201010581202100105
[12]	Edfeldt L, Kinnefors A, Str?mb?ck K, et al. Surgical treatment of paediatric cholesteatoma: long-term follow up in comparison with adults[J]. Int J Pediatr Otorhinolaryngol, 2012, 76(8): 1091-1097. doi: 10.1016/j.ijporl.2012.04.006
[13]	陈付华, 郭欣. 开放式鼓室成形术中自体骨粉行外耳道后壁重建的临床研究[J]. 现代医药卫生, 2016, 32(1): 96-98. doi: 10.3969/j.issn.1009-5519.2016.01.034
[14]	阮奕劲, 石雄州, 薛远琼, 等. 自体皮质骨外耳道上鼓室重建及骨粉乳突填塞在鼓室成形术中的应用[J]. 中国耳鼻咽喉头颈外科, 2017, 24(2): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-EBYT201702010.htm
[15]	Alves RD, Cabral Junior F, Fonseca AC, et al. Mastoid Obliteration with Autologous Bone in Mastoidectomy Canal Wall Down Surgery: a Literature Overview[J]. Int Arch Otorhinolaryngol, 2016, 20(1): 76-83. doi: 10.1055/s-0035-1563382
[16]	Sorour SS, Mohamed NN, Abdel Fattah MM, et al. Bioglass reconstruction of posterior meatal wall after canal wall down mastoidectomy[J]. Am J Otolaryngol, 2018, 39(3): 282-285. doi: 10.1016/j.amjoto.2018.03.007
[17]	Lee HB, Lim HJ, Cho M, et al. Clinical Significance of β-Tricalcium Phosphate and Polyphosphate for Mastoid Cavity Obliteration during Middle Ear Surgery: Human and Animal Study[J]. Clin Exp Otorhinolaryngol, 2013, 6(3): 127-134. doi: 10.3342/ceo.2013.6.3.127
[18]	Skoulakis C, Koltsidopoulos P, Iyer A, et al. Mastoid Obliteration with Synthetic Materials: A Review of the Literature[J]. J Int Adv Otol, 2019, 15(3): 400-404. doi: 10.5152/iao.2019.7038
[19]	Yanagihara N, Komori M, Hinohira Y. Total mastoid obliteration in staged canal-up tympanoplasty for cholesteatoma facilitates tympanic aeration[J]. Otol Neurotol, 2009, 30(6): 766-770. doi: 10.1097/MAO.0b013e3181b23698
[20]	Aziz B, Mahmoud R, Ahmed M, et al. A new staging system for tympanomastoid cholesteatoma[J]. J Int Adv Otol, 2012, 8(1): 63-68.
[21]	Hatano M, Ito M, Yoshizaki T. Retrograde mastoidectomy on demand with soft-wall reconstruction in pediatric cholesteatoma[J]. Acta Otolaryngol, 2010, 130(10): 1113-1118. doi: 10.3109/00016481003709861
[22]	Roth TN, Haeusler R. Inside-out technique cholesteatoma surgery: a retrospective long-term analysis of 604 operated ears between 1992 and 2006[J]. Otol Neurotol, 2009, 30(1): 59-63. doi: 10.1097/MAO.0b013e31818ee0a7
[23]	Yung MW. The use of middle ear endoscopy: has residual cholesteatoma been eliminated?[J]. J Laryngol Otol, 2001, 115(12): 958-961.
[24]	杨海弟, 高敏倩, 熊浩, 等. 耳内镜下中耳手术及鼓室成形术效果分析[J]. 中华耳科学杂志, 2017, 15(4): 403-407. doi: 10.3969/j.issn.1672-2922.2017.04.003
[25]	刘婷, 谢景华, 苏娟, 等. 全耳内镜处理鼓窦胆脂瘤临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(1): 70-72, 78. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202001018.htm
[26]	Marchioni D, Alicandri-Ciufelli M, Piccinini A, et al. Inferior retrotympanum revisited: an endoscopic anatomic study[J]. Laryngoscope, 2010, 120(9): 1880-1886. doi: 10.1002/lary.20995
[27]	Marchioni D, Alicandri-Ciufelli M, Pothier DD, et al. The round window region and contiguous areas: endoscopic anatomy and surgical implications[J]. Eur Arch Otorhinolaryngol, 2015, 272(5): 1103-1112. doi: 10.1007/s00405-014-2923-8
[28]	Khan MM, Parab SR. Concept, Design and Development of Innovative Endoscope Holder System for Endoscopic Otolaryngological Surgeries[J]. Indian J Otolaryngol Head Neck Surg, 2015, 67(2): 113-119. doi: 10.1007/s12070-014-0738-y
[29]	Kozin ED, Lehmann A, Carter M, et al. Thermal effects of endoscopy in a human temporal bone model: implications for endoscopic ear surgery[J]. Laryngoscope, 2014, 124(8): E332-339. doi: 10.1002/lary.24666
[30]	赵喜红, 王武庆. 内镜下潜水磨骨在上鼓室切开的应用[J]. 中华耳科学杂志, 2020, 18(1): 190-194. doi: 10.3969/j.issn.1672-2922.2020.01.033
[31]	Tarabichi M, Nogueira JF, Marchioni D, et al. Transcanal endoscopic management of cholesteatoma[J]. Otolaryngol Clin North Am, 2013, 46(2): 107-130. doi: 10.1016/j.otc.2012.10.001
[32]	Sun Y, Wang EH, Yu JT, et al. A Novel Surgery Classification for Endoscopic Approaches to Middle Ear Cholesteatoma[J]. Curr Med Sci, 2020, 40(1): 9-17. doi: 10.1007/s11596-020-2141-0
[33]	Mahdoufi R, Tazi N, Barhmi I, et al. Bilateral primitive cholesteatoma of external auditory canal with congenital stenosis[J]. Int J Surg Case Rep, 2016, 24: 108-111. doi: 10.1016/j.ijscr.2016.04.046
[34]	Lau K, Stavrakas M, Yardley M, et al. Lasers in Cholesteatoma Surgery: A Systematic Review[J]. Ear Nose Throat J, 2021, 100(1_suppl): 94S-99S. doi: 10.1177/0145561320948772
[35]	Nagel D. The Er: YAG laser in ear surgery: first clinical results[J]. Lasers Surg Med, 1997, 21(1): 79-87. doi: 10.1002/(SICI)1096-9101(1997)21:1<79::AID-LSM12>3.0.CO;2-4
[36]	Eskander A, Holler T, Papsin BC. Delayed facial nerve paresis after using the KTP laser in the treatment of cholesteatoma despite inter-operative facial nerve monitoring[J]. Int J Pediatr Otorhinolaryngol, 2010, 74(7): 823-824. doi: 10.1016/j.ijporl.2010.03.052
[37]	Basu S, Hamilton J. Treatment using diffuse laser energy of cochlear and vestibular fistulas caused by cholesteatoma[J]. J Laryngol Otol, 2019, 133(2): 102-105. doi: 10.1017/S0022215119000173
[38]	Hamilton JW. Systematic preservation of the ossicular chain in cholesteatoma surgery using a fiber-guided laser[J]. Otol Neurotol, 2010, 31(7): 1104-1108. doi: 10.1097/MAO.0b013e3181e9beb3
[39]	Landegger LD, Cohen MS. Use of the flexible fiber CO2 laser in pediatric transcanal endoscopic middle ear surgery[J]. Int J Pediatr Otorhinolaryngol, 2016, 85: 154-157. doi: 10.1016/j.ijporl.2016.03.039
[40]	Stevens SM, Walters ZA, Tawfik K, et al. Two Consecutive Cases of Persistent Stapedial Artery Managed With a Carbon Dioxide Laser[J]. Ann Otol Rhinol Laryngol, 2018, 127(1): 59-63. doi: 10.1177/0003489417742921
[41]	Lee CH, Kim MK, Kim HM, et al. Endaural Laser-Assisted Single-Stage Inside-Out Cholesteatoma Surgery(LASIC)to Treat Advanced Congenital Cholesteatoma[J]. Otol Neurotol, 2019, 40(7): 927-935. doi: 10.1097/MAO.0000000000002299
[42]	McCaffer CJ, Pabla L, Watson C. Curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery: description of use and review of the relevant literature[J]. J Laryngol Otol, 2018, 132(4): 360-363. doi: 10.1017/S0022215118000117
[43]	Sharma SD, Swarup A, James AL. Use of the KTP laser in totally endoscopic cholesteatoma surgery[J]. J Laryngol Otol, 2020, 134(4): 362-365. doi: 10.1017/S0022215120000420
[44]	叶放蕾, 赵堃, 陈蓓, 等. 中耳胆脂瘤听骨链破坏与传导性听力损失的关系[J]. 临床耳鼻咽喉头颈外科杂志, 2013, 27(13): 701-703. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201313010.htm
[45]	Jeffery CC, Shillington C, Andrews C, et al. The palisade cartilage tympanoplasty technique: a systematic review and meta-analysis[J]. J Otolaryngol Head Neck Surg, 2017, 46(1): 48. doi: 10.1186/s40463-017-0225-z
[46]	Lou ZC, Lou ZH. A moist edge environment aids the regeneration of traumatic tympanic membrane perforations[J]. J Laryngol Otol, 2017, 131(7): 564-571. doi: 10.1017/S0022215117001001
[47]	Bartel R, Cruellas F, Hamdan M, et al. Hearing results after type III tympanoplasty: incus transposition versus PORP. A systematic review[J]. Acta Otolaryngol, 2018, 138(7): 617-620. doi: 10.1080/00016489.2018.1425901
[48]	李珊, 柯嘉, 马芙蓉. 耳内镜下鼓室成形术的临床研究进展[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(9): 853-856. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202009020.htm