Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma.
Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma.
复制标题
先天性胆汁脂蛋白瘤的跨加工内窥镜耳部手术。
DOI：
10.21053/ceo.2018.00122
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发表时间：
2018-12
影响因子：
3
通讯作者：
Moon IJ
中科院分区：
文献类型：
--
作者：
Park JH;Ahn J;Moon IJ
近年来，随着内窥镜仪器、技术和知识的显着提高，内窥镜耳手术变得越来越流行。经耳道内窥镜耳部手术 (TEES) 可以在先天性胆脂瘤切除过程中更好地显示中耳腔中的隐藏区域。我们的目的是描述儿童先天性胆脂瘤 TEES 的结果。 25 名患有局限于中耳的先天性胆脂瘤的儿童（年龄为 17 个月至 9 岁）由经验丰富的外科医生接受了 TEES； 13 名儿童被归类为 Potsic I 期，7 名儿童为 II 期，5 名儿童为 III 期。平均随访期为 24 个月。观察先天性胆脂瘤复发情况及手术并发症。 所有患者先天性胆脂瘤均经胆管内镜入路成功切除，且无手术并发症发生；只有一名 II 期胆脂瘤患者在随访期间出现复发，并接受了翻修手术。其他患者接受了一期手术，最后一次就诊时未发现胆脂瘤复发。两名患者接受了第二阶段听骨重建。 尽管随访时间和患者数量有限，但使用 TEES 可以安全有效地切除仅限于中耳腔的小儿先天性胆脂瘤。
As endoscopic instrumentation, techniques and knowledges have significantly improved recently, endoscopic ear surgery has become increasingly popular. Transcanal endoscopic ear surgery (TEES) can provide better visualization of hidden areas in the middle ear cavity during congenital cholesteatoma removal. We aimed to describe outcomes for TEES for congenital cholesteatoma in a pediatric population. Twenty-five children (age, 17 months to 9 years) with congenital cholesteatoma confined to the middle ear underwent TEES by an experienced surgeon; 13 children had been classified as Potsic stage I, seven as stage II, and five as stage III. The mean follow-up period was 24 months. Recurrence of congenital cholesteatoma and surgical complication was observed. Congenital cholesteatoma can be removed successfully via transcanal endoscopic approach in all patients, and no surgical complications occurred; only one patient with a stage II cholesteatoma showed recurrence during the follow-up visit, and the patient underwent revision surgery. The other patients underwent one-stage operations and showed no cholesteatoma recurrence at their last visits. Two patients underwent second-stage ossicular reconstruction. Although the follow-up period and number of patients were limited, pediatric congenital cholesteatoma limited to the middle ear cavity could be safely and effectively removed using TEES.
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影响因子：
2.6
作者：
Ghadersohi, Saied;Carter, John M.;Hoff, Stephen R.
通讯作者：
Hoff, Stephen R.
影响因子：
2.6
作者：
Cohen, Michael S.;Landegger, Lukas D.;Lee, Daniel J.
通讯作者：
Lee, Daniel J.
影响因子：
2.6
作者：
Hanna, Bassem M.;Kivekas, Ilkka;Poe, Dennis
通讯作者：
Poe, Dennis
影响因子：
2.6
作者：
Kim, Young Ho;Yoo, Jae Chul;Kim, Chong Sun
通讯作者：
Kim, Chong Sun
影响因子：
2.1
作者：
Kobayashi, Taisuke;Gyo, Kiyofumi;Hyodo, Masamitsu
通讯作者：
Hyodo, Masamitsu