중이 수술 후 발생한 진주종의 국소적 치료의 유용성

Background and Objectives: The recurrent cholesteatoma is generally treated with re-operation. But the surgical treatment requires relatively high risk of complications like facial nerve injury, endolymphatic fistula and so on. So we attempted simple removal of localized post-operative recurrent cholesteatoma and irrigation with antibiotic solution at ambulatory basis. The purpose of this study was to see if cholesteatoma is localized in attic area just local care can be effective. Materials and Method: We retrospectively studied 15 patients who went through only local care of post-operative recurrent cholesteatoma at our ENT clinic center from January, 1994 to February, 2006. Result: Fifteen patients was treated and kept effectively with only local care and frequent follow-ups. Conclusion: We recognized that local treatment and observation of selected postoperative recurrent cholesteatoma deserves to try for patients dreadful to surgery. (J Clinical Otolaryngol 2006;17:83–88)