[Severe forms of cholesteatomatous chronic otitis (author's transl)].
Eighty further case-reports of patients, hospitalized for particularly severe forms of cholesteatomatous chronic otitis since 1977, are analyzed. -Cholesteatomas were associated with spontaneous atticotomy and atrial invasion in 37 cases, while in 8 patients the cholesteatoma was revealed by the presence of premalleal and anterior subligamental perforations. -New features were observed in 7 cases of cholesteatomatous and osteomatous chronic otitis. -Giant cholesteatoma was present in 12 cases, and unilateral tumors in 6 patients. -Four rarer types of lesion, obviously of a serious nature, were observed, including: -polypoid and hemorrhagic tumors (6 cases), -persistently highly fetid cholesteatomas (6 cases), and those that appeared to be "under pressure" (13 cases). -Finally, 7 cases were unusual and disturbing, demonstrating early extensive osteitic recurrence less than 6 months after initial excision. Widespread evidement is necessary for the majority of these cases.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002781:Cholesteatoma / Q000209:etiology* / Q000601:surgery; D002908:Chronic Disease; D004427:Ear Diseases / Q000209:etiology* / Q000601:surgery; D004428:Ear Neoplasms / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010016:Osteoma / Q000209:etiology; D010031:Otitis / Q000150:complications*
Les formes graves d'otites chroniques cholestéatomateuses. Nouvelles observations.