頁籤選單縮合
題名 | 醫源性膽脂瘤--三例報告=Iatrogenic Cholesteatoma--Report of Three Cases |
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作者 | 陳信吉; 李易倉; 黃柏榮; 李明儒; 葛育成; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 33:6 1998.12[民87.12] |
頁次 | 頁95-98 |
分類號 | 416.821 |
關鍵詞 | 醫源性膽脂瘤; Iatrogenic cholesteatoma; |
語文 | 中文(Chinese) |
中文摘要 | 醫源性膽脂瘤乃因前次非膽脂瘤之中耳手術所造成,以前很少被提及,一方面是 前次手術造成膽脂瘤的原因不易被確定,另一方面則牽涉了醫學倫理的問題,目前普遍認為 由扁平上皮經軟組織缺損處誤植入而形成和平醫院耳鼻喉科於1997年4月,7月和9月經 歷3例醫源性膽脂瘤,1例為手術中外耳道損傷,1例為中耳通氣管值入或移除後,另1例 為植入物(筋膜)放置不當所造成,3例為術中發現,且經病理診斷證實,術後病人聽力進 步,門前門診追蹤下,無復發之跡象。 |
英文摘要 | Iatrogenic Cholesteatoma is defined as a new cholesteatoma after previous surgery for non- cholesteatmatous middle ear disease. It was seldom discussed before because its pathologic mechanism was difficult to he defined. In addition, medical ethical problem was also a consideration. Implantation of squamous epithelium into pneumatized portions of the temporal bone during the surgery was thought to be a major cause. We encountered 3 cases of iatrogenic cholesteatoma in 1997. One case was due to external auditory canal skin defect. The other two cases were related to a previous grommet insertion, and inadequate fascia grafting respectively. They were all confirmed by pathologic diagnosis after surgery. And there has been no evidence of recurrence until now. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。