鼓室（雅各布森神经）外伤性神经瘤作为耳痛的可能病因
Traumatic neuroma of the tympanic (Jacobson's) nerve as a possible cause of otalgia.
作者信息
Naraev Boris G, Linthicum Fred H
机构信息
House Ear Institute, Los Angeles, CA 90057, USA.
出版信息
Otolaryngol Head Neck Surg. 2008 Jun;138(6):735-7. doi: 10.1016/j.otohns.2008.02.008.
OBJECTIVE
To show that traumatic neuroma of the tympanic (Jacobson's) nerve may be a cause of recurrent intractable otalgia in patients following radical mastoidectomies.
STUDY DESIGN
Histologic evaluation of four temporal bones from three patients with a history of recurrent otalgia following radical mastoidectomy.
SUBJECTS AND METHODS
The medical records of three patients with multiple middle ear surgeries in four ears because of recurrent otalgia were reviewed. Histopathologic studies of the four temporal bones were performed.
RESULTS
All four of the temporal bones that underwent multiple surgeries were found to have traumatic neuromas of the tympanic (Jacobson's) nerve.
CONCLUSION
Recurrent otalgia in patients after radical middle ear surgery may be caused by a traumatic neuroma of the tympanic (Jacobson's) nerve.
目的
证明鼓室（雅各布森氏）神经创伤性神经瘤可能是根治性乳突切除术后患者反复出现顽固性耳痛的原因。
研究设计
对3例根治性乳突切除术后有反复耳痛病史患者的4块颞骨进行组织学评估。
研究对象和方法
回顾了3例因反复耳痛而在4只耳朵进行多次中耳手术患者的病历。对4块颞骨进行了组织病理学研究。
结果
所有接受多次手术的颞骨均发现有鼓室（雅各布森氏）神经创伤性神经瘤。
结论
中耳根治性手术后患者反复出现耳痛可能是由鼓室（雅各布森氏）神经创伤性神经瘤引起的。
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