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[迷路完全分离]

[Total sequestration of the labyrinth].

作者信息

Ovchinnikov Iu M, Dobrotin V E, Dolgikh V T, Morozova S V, Rabkin I E

出版信息

Vestn Otorinolaringol. 1991 Jul-Aug(4):35-9.

PMID:1957435
Abstract

At present total sequestration of the labyrinth in the case of purulent epitympanitis and cholesteatoma is a rare pathology. This paper describes data from the literature and two observations by the present authors. They offer an efficient method for arresting labyrinthectomy-induced liquorrhea by means of a flap of the lip mucous membrane. They maintain that computer tomography combined with traditional tomography is an informative method for diagnosing labyrinth destruction. They assert that continuous destruction of the labyrinth during prolonged pyorrhea and progressive development of cholesteatoma can be stimulated by functional changes of the body, e.g. pregnancy. They also suggest that the vestibular apparatus has high compensatory potentials under the conditions of a complete destruction of the vestibule and semicircular canals as a result of extended inflammation of the middle and internal ear.

摘要

目前,在化脓性上鼓室炎和胆脂瘤病例中,迷路完全被隔离是一种罕见的病理情况。本文描述了文献数据以及两位作者的两项观察结果。他们提供了一种通过唇黏膜瓣来阻止迷路切除术后脑脊液漏的有效方法。他们认为计算机断层扫描结合传统断层扫描是诊断迷路破坏的一种有价值的方法。他们断言,在长期脓性中耳炎和胆脂瘤逐渐发展过程中,迷路的持续破坏可能受到身体功能变化(如怀孕)的刺激。他们还表明,在前庭和半规管因中耳和内耳长期炎症而完全破坏的情况下,前庭器官具有很高的代偿潜力。

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