开放式鼓室成形术治疗胆脂瘤中耳炎

目的：探讨开放式鼓室成形术治疗胆脂瘤中耳炎的疗效。方法：对23例胆脂瘤中耳炎患者行开放式鼓室成形术。结果：随访1～3年，23耳全部干耳，无胆脂瘤复发, 无眩晕和面瘫并发症。20例移植筋膜成活，2例鼓膜再穿孔，1例鼓膜疤痕内陷。术后纯音测听语言频率气导平均听阈，提高25～30dBHL 5耳，提高15～20dBHL 13耳，提高10dBHL 2耳，无变化3耳。结论：为胆脂瘤型中耳炎患者行开放式鼓室成形术，能根治病变，听力恢复效果好，复发率低，是一种较为实用的手术方法。

Open tympanoplasty for otitis media with cholesteatoma

Objective： To investigate the effect of open tympanoplasty for patients with cholesteatoma of the middle ear. Method: Twenty-hree ears with cholesteatoma were treated by open tympanoplasty. Results: During a follow-p of one to three years, all had dry ears without relapse and vertigo or facial paralysis. Among them, 20 cases had normal tympanic membranes, 2 had perforation, and 1 had a sunken tympanic membrane. Hearing was improved by 25 to 30dBHL in 5 ears, 15 to 20dBHL in 13 ears, 10dBHL in 2 ears, and not improved in 3 ears. Conclusion: Open tympanoplasty should be carried out in treating otitis media with cholesteatoma to improve the hearing and decrease relapse.