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岩尖胆脂瘤不常见。在诊断及治疗上存在着一些疑难问题。该文对14例岩尖胆脂瘤病例作了回顾性评价及分类。14例均有耳漏及听力减退症状。6例为重度感音神经性聋;4例传导聋;2例为混合聋;(正常2例)。术中所见及放射线检查病变直接累及迷路者最多(11例),如迷路上气房病变9例。面神经功能障碍(HouseⅡ～Ⅵ度)占半数,面神经膝状节是最易受累部位,往往是迷路上骨坏死或迷路坏死的结果。治疗均采用了经岩骨手术径路。10例经迷路-耳蜗径路,去除胆脂瘤并切除游动或全长的颞骨内面神经;4例经迷路,
Rock-tip cholesteatoma is uncommon. In the diagnosis and treatment there are some difficult problems. In this paper, 14 cases of petrified cholesteatoma were retrospectively evaluated and classified. All 14 cases had ear leaks and hearing loss symptoms. 6 cases of severe sensorineural deafness; 4 cases of conduction deafness; 2 cases of mixed deafness; (normal 2 cases). Intraoperative findings and radiation examination lesions directly involved the most stray person (11 cases), such as labyrinthine lesions in 9 cases. Facial nerve dysfunction (House Ⅱ ~ Ⅵ degree) accounted for half of the facial nerve knee joint is the most vulnerable parts of the site, often lost or osteonecrosis of the stump of the result of labyrinthine necrosis. Treatment are used by the rock bone surgery path. 10 cases of labyrinthine - cochlear pathology, removal of cholesteatoma and excision swimming or full length of the temporal bone of the facial nerve; 4 cases were lost,