Jang Chul Ho, Park See Young, Wang Pa-Chun
Department of Otolaryngology, Chonnam National University Hospital, 8 Hak- dong, Dong-gu, Gwangju, Chonbuk 570-711, Korea.
Yonsei Med J. 2005 Feb 28;46(1):161-5. doi: 10.3349/ymj.2005.46.1.161.
Widespread use of antimicrobial drugs in the management of otitis media has significantly reduced the incidence of labyrinthitis nowadays. Cases of tympanogenic labyrinthitis following acute otitis media have rarely been reported in recent literature on otolaryngology. We report an unusual case of tympanogenic labyrinthitis that presented with sudden sensorineural hearing loss (SNHL) following acute otitis media in an adult who had no previous otological complaints. An audiogram revealed SNHL with pure tone threshold of 43.7 dB in the left ear. MRI was helpful to identify the inflammatory change of the membranous labyrinth. The patient's hearing returned to normal after treatment. The definite diagnosis of serous labyrinthitis was established retrospectively.
抗菌药物在中耳炎治疗中的广泛应用显著降低了如今迷路炎的发病率。在近期的耳鼻喉科文献中,急性中耳炎后发生鼓室源性迷路炎的病例鲜有报道。我们报告一例不寻常的鼓室源性迷路炎病例,该病例为一名既往无耳科疾病史的成年人,在急性中耳炎后出现突发感音神经性听力损失(SNHL)。听力图显示左耳纯音阈值为43.7dB的SNHL。磁共振成像(MRI)有助于识别膜迷路的炎症变化。患者经治疗后听力恢复正常。浆液性迷路炎的明确诊断是回顾性确定的。