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先天性耳瘘管是一种常见的先天性疾病,常继发感染,长期不愈。我们从1978年初至1993年底,共收治先天性耳瘘管继发感染并多次手术不愈的病人26例,行改良扩大根治手术,全部一次性治愈,报告如下。 临床资料 26例中,男15例,女11例,年龄7～22岁。瘘管位于左侧13例,右侧5例,双侧8例。感染灶在耳前者20例,耳廓上发际处3例,延及乳突部2例、外耳道1例。全部病例均继发感染3次以上,术前长期流脓不愈。曾作过1次切除术者15例,2次9例,3次2例。
Congenital ear fistula is a common congenital disease, often secondary to infection, long-term unhealed. From the beginning of 1978 to the end of 1993, we treated a total of 26 patients with congenital ear canal fistula secondary infection and multiple unhealed patients, and improved radical surgery, all at one time, the report is as follows. Clinical data of 26 cases, 15 males and 11 females, aged 7 to 22 years. Fistula was located on the left side in 13 cases, right side in 5 cases, bilateral in 8 cases. Infective lesions in the front of the ears in 20 cases, auricle on the hairline in 3 cases, extending to the mastoid in 2 cases, 1 case of external auditory canal. All cases were secondary infection more than 3 times, long-term preoperative pus healing. There were 15 cases who had a previous resection, 2 cases 9 cases, 3 cases 2 cases.