Management of the Temporal Bone Fibrous Dysplasia With External Auditory Canal Stenosis and Secondary Cholesteatoma in an Asian Population: A 11-Case Series

Management of the Temporal Bone Fibrous Dysplasia With External Auditory Canal Stenosis and Secondary Cholesteatoma in an Asian Population: A 11-Case Series
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亚洲人群颞骨纤维发育不良伴外耳道狭窄和继发性胆脂瘤的治疗:11 例系列

DOI:
10.1177/0145561320927922
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发表时间:
2020-05
影响因子:
1.3
通讯作者:
Chen Bing
Chen Bing
中科院分区:
医学4区
文献类型:
--
作者:
Zhang Kun;Qu Peng;Wang Bing;Zhang Endong;Chen Bing

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目的:本文总结中国人群中伴有外耳道狭窄及继发性胆脂瘤的颞骨骨纤维异常增殖症(FD)的诊疗经验,以提高生活质量
Objective: This article summarizes the experience of diagnosis and treatment of temporal bone fibrous dysplasia (FD) with external auditory canal (EAC) stenosis and secondary cholesteatoma in the Chinese population, in order to improve the quality of life of patients in the future. Methods: Eleven patients with FD of the temporal bone who underwent surgery were retrospectively reviewed. Results: All lesions originated from the temporal bone, and all involved of the EAC. There were 11 cases of cholesteatoma in the EAC, 4 cases of cholesteatoma in the middle ear. The most common symptoms were hearing loss (100%), tinnitus (36.4%), and otorrhea (36.4%). Two patients were severe-profound sensorineural hearing loss, and one patient was complicated with subperiosteal abscesses. All 11 patients underwent surgery. There were no perioperative complications in this series and median follow-up time was 4.2 years. Conclusion: Temporal bone FD remains a rare diagnosis, especially in the Asian population. The lesions mainly lead to stenosis of the EAC, especially at the osteochondral junction. Cholesteatoma is the main complication of this disease, which is secondary to occlusion of the EAC with the growth of the lesion. Canaloplasty of EAC combined with wide meatoplasty can provide excellent prognosis in most cases.
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发表时间: 2020-02
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影响因子: --
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影响因子: 2.1
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DOI: 10.1056/nejmc1808583
发表时间: 2018-11
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