정상 청력을 가진 진주종성 중이염 환자의 임상적 고찰

우훈영; 손정협; 조경래; 김희주; 김진영

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자료유형: 학술저널

저자정보: 우훈영 손정협 조경래 김희주 김진영

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제51권 제10호

발행연도: 2008.1

수록면: 861 - 865 (5page)

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Cholesteatoma in the normal hearing ear represents a surgical challenge. We aimed to identify the clinical features and surgical results of these patients. Subjects and Method：Sixty-three ears with cholesteatoma had preoperative pure-tone averages of less than 25 dB. Parameters for study were age, location of cholesteatoma, type of tympanoplasty, status of ossicles, and type of mastoidectomy. Postoperative audiogram was evaluated. Results：Hearing was preserved within 30 dB on air conduction audiometry in 60.3% on postoperative 2 months and in 60.5% on postoperative 6 months. The rate of hearing preservation was related to the location of cholesteatoma. Similar hearing outcomes resulted from the comparisions of adult versus children, intact versus reconstructed ossicular chains and open versus closed mastoidectomy. Conclusion：Preserving an intact ossicular chain and maintaining an intact canal wall did not have a significant effect on hearing preservation, but the location of cholesteatoma does. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:861-5)

#Normal hearing·Cholesteatoma.

참고문헌 (11)

참고문헌 신청

Austin DF / 1989 / Staging in cholesteatoma surgery / J Laryngol Otol 103 (2) : 143 ~ 148

Chang CC / 2000 / Canal-wall-down tympanoplasty with mastoidectomy for advanced cholesteatoma / J Otolaryngol 29 (5) : 270 ~ 273

Chays A / 1997 / Cholesteatoma with intact ossicular chain, in : Cholesteatoma and Mastoid Surgery / CIC Edizioni Internazionali : 602 ~ 608

Jansen C / 1968 / The combined approach for tympanoplasty (Report on 10 years’ experience) / J Laryngol Otol 82 (9) : 779 ~ 793

Kim CS / 2001 / Follow up hearing and complication results of the two surgical techniques in the treatment of adult cholesteatoma / Korean J Otolaryngol-Head Neck Surg 44 (10

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