title: [The investigation of the strategy of surgical treatment of cholesterol granuloma in the middle ear].
abstract: To investigate the surgical treatment of cholesterol granuloma in middle ear.
  
  
  
  Nineteen patients of cholesterol granuloma in middle ear were retrospectively study. All the patients were treated with tympanic tube insertion, canal wall up mastoidectomy or intact-tympanic canal wall down mastoidectomy respectively.
  
  
  
  All the cases were followed up from 6 months to 3.3 years. Two patients recurred among the 4 patients treated with tympanic tube insertion, 3 patients recurred among 8 patients treated with canal wall up mastoidectomy, and no recurrence was found among 7 patients treated with intact-tympanic canal wall down mastoidectomy. 12 patients had their hearing improved obviously among 14 patients without recurrence.
  
  
  
  For the juvenile patients with a short medical history occurred for the first time, tympanic tube insertion merely is a rea sonable choice after the factor of obstruction of the pharyngotympanic tube was removed. For the patients with a long medical history and comprehensive lesions, or occurred repeatedly after being treated with tympanic tube in sertion or canal wall up mastoidectomy, the intact-tympanic canal wall down mastoidectomy should be a good choice.
authors.affiliation: Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Hou
authors.forename: Jipeng
authors.initials: JP
authors.lastname: Guo
authors.forename: Hongjun
authors.initials: HJ
authors.lastname: Xiao
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000601:surgery; D004427:Ear Diseases / Q000601:surgery*; D004432:Ear, Middle; D005260:Female; D006099:Granuloma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D000091402:Prohibitins; D012189:Retrospective Studies; D055815:Young Adult