双侧耳郭软骨骨化1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2021.234

摘要/Abstract

摘要： 目的探讨耳郭软骨骨化的发病机制、临床表现、诊断依据、鉴别诊断、治疗方法。方法回顾性分析1例耳郭软骨骨化患者的临床资料并复习相关文献进行总结。结果耳郭软骨骨化的发病机制暂不明确,通常无明显不适症状,少数患者可伴有局部疼痛、听力下降等症状。颞骨CT可辅助诊断,最终确诊依赖于组织病理检查。症状不明显时可暂予观察,若症状严重影响了生活和工作,可予手术治疗。结论耳郭软骨骨化在临床上较为少见,目前尚无有效逆转耳郭骨化的办法。积极寻找病因,及早干预,有利于避免病情进一步发展。

关键词: 耳郭软骨骨化, 耳郭硬化, 异位骨化, 异位钙化, 弹性软骨

Abstract: Objective The study aimed to explore the pathogenesis, clinical manifestations, diagnostic basis, differential diagnoses, and treatment methods of auricular cartilage ossification. Methods The clinical data of a patient with auricular cartilage ossification was retrospectively analyzed. A review of related literature was included for summary. Results The pathogenesis of auricular cartilage ossification is yet to be elucidated. Obvious discomfort is not a common finding; however, a few cases may present with local pain, hearing loss, and other symptoms. Computerized tomography of the temporal bone aids in diagnosis, but histopathological examination dictates the final diagnosis. Patients with no obvious symptoms may opt for temporary observation. However, surgical management is the treatment of choice if quality of life and function are affected. Conclusion Auricular cartilage ossification is relatively uncommon in clinical practice, and currently, no treatments have been developed to reverse its course. Active risk identification and early intervention are key to prevent disease progression.

Key words: Auricular cartilage ossification, Petrified auricle, Ectopic ossification, Ectopic calcification, Elastic cartilage

中图分类号:

R765.21

刘博, 肖旭平, 李云秋, 周恩, 郭仁彬. 双侧耳郭软骨骨化1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2022, 36(4): 12-16.

LIU Bo, XIAO Xuping, LI Yunqiu, ZHOU En, GUO Renbin. Bilateral ossification of the auricular cartilage: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 12-16.

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