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外耳道胆脂瘤(或称梗阻性角化病)是指梗塞于外耳道骨部的、含有胆固醇结晶的脱落表皮团块。随着病变的进展,可引起骨部扩大,有的甚至穿破鼓膜、侵入中耳,危害听力。本病以往被认为是一种罕见病,有关的文献资料不多。作者于1982年8月～1983年1月在门诊中诊治了51例(66耳)外耳道胆脂瘤病人,显示了本病并不罕见。特将本组病例分析报告如下。一、临床资料 1.一般情况:男26例,女25例。年龄4～79岁;50岁以下44例占86％。病变较严重者10例均为27岁以上成年人,其中女性9例。工人22例占43％,学生11例占22％,其他18例占35％。 2.耳别:双耳15例,右耳17例,左耳18例,未明1例。 3.症状:耳部症状见表1。全身症状有发热3例、头晕3例,头痛2例。出现症状至初
External auditory canal cholesteatoma (also referred to as obstructive keratosis) refers to the infarction in the external auditory meatus, cholesterol-containing shedding epidermal clumps. As the disease progresses, can cause bone enlargement, and some even pierce the tympanic membrane, invade the middle ear, endangering hearing. The disease was previously considered a rare disease, the literature is not much information. The authors diagnosed 51 patients (66 ears) of external auditory canal cholesteatoma at outpatient clinics from August 1982 to January 1983, showing that the disease is not uncommon. Special case analysis of this report are as follows. First, the clinical data 1. General situation: 26 males and 25 females. Age 4 to 79 years; 44 under the age of 50 accounted for 86%. 10 cases of more serious lesions were more than 27 years of age adults, including 9 females. Workers accounted for 43% of 22 cases, 11 cases of students accounted for 22%, the other 18 cases accounted for 35%. 2. ears do not: 15 cases of binaural, right ear in 17 cases, left ear in 18 cases, unknown in 1 case. Symptoms: Ear symptoms are shown in Table 1. Symptoms of systemic fever in 3 cases, 3 cases of dizziness, headache in 2 cases. Symptoms to early