상고실 진주종에 대한 수술적 치료로 귓속뼈 연쇄를 보존하는 방법 비교; “변형Bondy술식”과 “폐쇄공동술식/제1형 고실성형술 및 순판성형술”

신단비; 이정온; 천태욱; 남정권; 이태훈; 권중근

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자료유형: 학술저널

저자정보: 신단비 이정온 천태욱 남정권 이태훈 권중근

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제60권 제10호

발행연도: 2017.1

수록면: 491 - 496 (6page)

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Background and Objectives The aim of this study is to evaluate the clinical outcomes of two surgical techniques-modified Bondy technique and canal wall up mastoidectomy with tympanoplasty type I and scutumplasty (CWUM/T1)-to remove attic cholesteatoma while preserving ossicular chain intact. Subjects and Method A retrospective study was performed on 23 surgical cases for the attic cholesteatoma with postoperative audiometry data of more than six months after surgery. The patients’ postoperative clinical features and audiometric results were compared between the two surgical groups. Results Out of 23 patients, CWUM/T1 was performed in 13 cases and modified Bondy technique was used in 10 cases. There were no significant differences for the preoperative and postoperative audiograms between the two groups. But air-bone gap increased significantly after CWUM/T1 while it decreased after modified Bondy technique. Three cases with postoperative problems were seen after CWUM/T1 (recurrent cholesteatoma, pars tensa adhesion, recurrent otitis media with effusion). Two cases with postoperative problems were found after modified Bondy technique (mild attic retraction, pars tensa retraction). Conclusion Both surgical techniques seem to be adequate to treat attic cholesteatoma while preserving intact ossicular chain. Given good postoperative hearing results and stability of open cavity against recidivism, the modified Bondy technique seems to be a good choice for the attic cholesteatoma with intact ossicular chain when mastoid is not highly pneumatized. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(10):491-6

#Audiometry #Cholesteatoma #Mastoid #Otologic surgical procedures.

참고문헌 (14)

참고문헌 신청

Brown JS / 1982 / A ten year statistical follow-up of 1142 consecutive cases of cholesteatoma: the closed vs. the open technique / Laryngoscope 92 (4) : 390 ~ 396

Kerckhoffs KG / 2016 / The disease recurrence rate after the canal wall up or canal wall down technique in adults / Laryngoscope 126 (4) : 980 ~ 987

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

Lau T / 1989 / Tensa retraction cholesteatoma: treatment and longterm results / J Laryngol Otol 103 (2) : 149 ~ 157

Naguib MB / 1994 / Surgical management of epitympanic cholesteatoma with intact ossicular chain: the modified Bondy technique / Otolaryngol Head Neck Surg 111 (5) : 545 ~ 549

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