CAJ | 학술논문

慢性化脓性中耳炎严重影响患者生活质量，伴胆脂瘤者可能因颅内外并发症危及生命，手术目的为彻底清除病灶，并尽可能保存和重建听力。手术方式主要包括开放式及完壁式乳突根治鼓室成形术，前者在清除病灶方面具有较为广阔的视野，后者术后胆脂瘤复发可能性较高，但因外耳道后壁的保存使患者术后有更高的生活质量。本文对完壁式乳突根治鼓室成形术的术式、手术疗效、术后复发率及手术适应证进行概述，旨在为该术式的选择提供参考。
만성화농성중이염엄중영향환자생활질량，반담지류자가능인로내외병발증위급생명，수술목적위철저청제병조，병진가능보존화중건은력。수술방식주요포괄개방식급완벽식유돌근치고실성형술，전자재청제병조방면구유교위엄활적시야，후자술후담지류복발가능성교고，단인외이도후벽적보존사환자술후유경고적생활질량。본문대완벽식유돌근치고실성형술적술식、수술료효、술후복발솔급수술괄응증진행개술，지재위해술식적선택제공삼고。
[Summary] Chronic suppurative otitis media affects patients ’ quality of life, and is life-threatening in patients with cholesteatoma which causes intracranial or extracranial complications .The purpose of surgery is to clear up all the lesions and to reconstruct hearing function .Tympanoplasty is the main surgical method , which includes basically canal wall down ( CWD) and canal wall up (CWU) styles.CWD provides lager surgical field but impairs normal auditory canal structure ; CWU preserves the posterior wall of external auditory canal and provides better quality of life although it has higher possibility of recurrence of cholesteatoma .We reviewed the surgical methods , surgical effects , recurrence rates , and surgical indications of canal wall up mastoid-tympanoplasty , hoping to provide meaningful reference for clinical application .