How does external auditory canal cholesteatoma operate?

summary

We are not unfamiliar with a series of tumor lesions caused by a variety of different factors, such as cholesteatoma and otitis media, which are very common. Cholesteatoma has some characteristics, long-term persistent purulent ear, a special stench, tympanic membrane relaxation or tension after the upper edge of the perforation. Cholesteatoma prone place is the middle ear and mastoid, and its surrounding are important organs, especially close to the cranial cavity, there is a thin bone plate separated, for this disease we should take reasonable methods of symptomatic treatment. Let's take a look at the following.

How does external auditory canal cholesteatoma operate?

First, the manifestations of this disease are various. It is not a tumor as we usually call it, but a cystic structure located in the middle ear and mastoid cavity. Generally, there are severe conductive deafness, such as the lesion involving the cochlea, mixed deafness. CT examination can determine the extent of lesions and guide surgery.

Second, radical mastoidectomy and tympanoplasty should be performed for patients with external auditory canal cholesteatoma invading the mastoid and middle ear. The operation principle is to thoroughly remove the cholesteatoma tissue and damaged dead bone, expand the external auditory canal, and restore hearing. After the operation, we should follow up and observe, and clean up the residual or regenerated cholesteatoma at any time, If necessary, systemic antibiotics should be used to control the infection.

Third: during the operation, patients should be under local anesthesia or general anesthesia, ear or ear incision, under the microscope to remove cholesteatoma, at the same time, according to the different pathological changes of ear cavity plasty and tympanoplasty. After operation, the dressing was changed to complete epithelization. This method can be considered for patients with severe infection and difficult removal.

matters needing attention

Once the bone wall is broken, pus and bacteria can enter the brain through it, and serious intracranial complications will occur. If not treated in time, it can be life-threatening. When patients choose surgery, they can better communicate with doctors, which is also good for the treatment of diseases.