Lücke D, Stroszczynski C, Gartenschläger S, Olze H
Klinik für Hals-Nasen-Ohrenheilkunde, Charité, Campus Wirchow-Klinikum. Augustenburger Platz 1 13353 Berlin.
Laryngorhinootologie. 2006 May;85(5):344-7. doi: 10.1055/s-2005-870503.
The Apert syndrome (Acrocephalosyndactyly) is one of the craniosynostotic syndromes, which is often associated with congenial malformation in the temporal bone. We present a case of a 13 year old girl with Apert syndrome. By planning a tympanoplasty we arranged a CT-scan of the temporal bones. It demonstrated next to some other malformations a high jugular bulb on both sides, on the right side just with a membraneous bound to the external ear canal. In a recherche we did not find a higher incidence of high jugular bulb in Apert-syndrome and other craniosynostotic syndromes. However as we expect different malformations of the temporal bone in Apert syndrome we recommend an otorhinolaryngeal examination in each of these patients and a ct scan of the temporal bone before any operation of the middle ear.
阿佩尔综合征(尖头并指畸形)是颅缝早闭综合征之一,常伴有颞骨先天性畸形。我们报告一例13岁患有阿佩尔综合征的女孩。通过计划进行鼓室成形术,我们安排了颞骨CT扫描。除了一些其他畸形外,扫描显示双侧颈静脉球高位,右侧颈静脉球仅通过膜与外耳道相连。在一项研究中,我们未发现阿佩尔综合征和其他颅缝早闭综合征中颈静脉球高位的发生率更高。然而,由于我们预计阿佩尔综合征患者会出现不同的颞骨畸形,因此我们建议对每例此类患者在进行中耳任何手术前进行耳鼻喉检查并进行颞骨CT扫描。