摘要
目的探讨显微手术治疗外耳道乳头状瘤的疗效。方法对43例外耳道乳头状瘤患者,在显微镜下作耳内切口,充分暴露外耳道,沿肿瘤基底边缘1.5 mm,将肿瘤及其基底皮肤一并切除。根据肿瘤范围大小及是否涉及鼓膜鼓室,手术除切除肿瘤外,可并行植皮手术,外耳道成形、鼓膜成形、鼓室探查或鼓室成形手术。结果随访周期为35~151个月,平均周期为89个月。43例共47耳,复发1例。有4例（4耳）发生狭窄,其中2耳在术后3个月内出现耳内感染,后并发狭窄。无外耳道闭锁病例。结论显微镜下手术切除是治疗外耳道乳头状瘤的安全、有效方法。
Objective To investigate the outcome of microsurgery of papillary epithelioma of external auditory canal. Methods 43 cases（47 ears） of papillary epithelioma of external auditory canal were involved in this research.The canal was exposed completely,surgical incision about 1.5 mm around the tumor was made in external auditory canal,and the tumor and skin were removed together. Operation such as skin transplantation,canaloplasty of external auditory meatus,myringoplasty and tympanoplasty was selected when the tumor has had grown in a large size,even involved the tympanic membrane and cavity. Results The follow-up period was between 35 to 151 months,averaged 89 months. One case（ one ear） had a recurrence in these 43 cases（47 ears）. Stricture was found in 4 cases（4 ears） in which infections-stricture occurred in 2 ears within 3 months after the operation. No clausura was found in all cases.Conclusions Microsurgery of papillary epithelioma of external auditory canal is a safe and effective surgerical method.
出处
《中国眼耳鼻喉科杂志》
2016年第3期203-205,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词
显微镜
外耳道
乳头状瘤
Microscope
External auditory canal
Papillary epithelioma
