Endoscopic Surgery for a Case of Congenital Cholesteatoma with Ossicular Chain Anomaly.

Haiping Qin, Jinxia Xu, Qingli Huang, Lili Gong
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Abstract

The simultaneous occurrence of congenital ossicular anomalies and congenital cholesteatoma (CC) is exceedingly rare. This report describes the case of an 11-year-old boy who presented with conductive hearing loss, characterized by an average air conduction threshold of 50 dB in the left ear, without any prior otologic history. Preoperative assessments suggested the presence of CC, with suspicion of ossicular chain malformation. The patient underwent ear endoscopic surgery, during which the lesion was excised, and the ossicular chain was reconstructed using a titanium ossicular prosthesis. Postoperative follow-up indicated successful healing, with a significant improvement in hearing, as demonstrated by a reduction in the air conduction threshold to 15 and a hearing gain of 35 dB.

内窥镜手术治疗一例先天性胆脂瘤伴听骨链异常。
同时出现先天性听骨畸形和先天性胆脂瘤(CC)的情况极为罕见。本报告描述了一例 11 岁男孩的病例,该男孩出现传导性听力损失,左耳平均气导阈值为 50 dB,之前没有任何耳科病史。术前评估提示存在 CC,并怀疑听骨链畸形。患者接受了耳内窥镜手术,切除了病灶,并使用钛合金听骨假体重建了听骨链。术后随访显示,手术成功,听力明显改善,空气传导阈值降低到 15,听力提高了 35 分贝。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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