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病例摘要:患者男性,21岁。因右耳流臭脓20年伴耳痛、右眼闭合不拢,口角向左歪斜15天于1987年9月11日入院。检查,T.P.R和Bp均正常,神志清楚,右侧皱额无纹,眼裂闭合不全,鼻唇沟消失,口角向左明显歪斜。右外耳道积有臭脓,耳道后上壁下塌变窄,鼓膜松驰部穿孔,探针查鼓窦入口增宽,有豆腐渣样物。乳突部有压痛及明显叩击痛。电测听查听力为重度传导性耳聋。前庭功能检查正常,服球无震颤。流泪反射,镫骨肌反射均存在。乳突照片示右侧有2.8×4.0cm胆脂瘤腔,电诊断提示右面神经重度损害。头颅CT正常。诊断:右巨
Case Summary: Male patient, 21 years old. Due to right ear flow pus 20 years with otalgia, closed his right eye closed, diagonal left skewed 15 days in September 11, 1987 admitted. Check, T.P.R and Bp are normal, clear consciousness, the right wrinkle no pattern, imperfect ruptured eyes, nasolabial fold disappears, the mouth was significantly skewed to the left. The right external auditory canal plot with pus, the upper wall of the ear canal after the collapse of the narrow, tympanic membrane relaxation Department Department, probe check the drum sinus entrance widening, a sample of bean curd residue. Mastoid tenderness and obvious percussion pain. Electrical audiometry for severe hearing loss hearing-induced deafness. Vestibular function test is normal, the service without tremor. Tears reflected, stapedius reflexes are present. Mastoid photo shows the right side of 2.8 × 4.0cm cholesteatoma cavity, electrical diagnosis prompts severe damage to the right nerve. Head CT is normal. Diagnosis: the right giant