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气压迷路内耳功能预后:病例报告及文献复习。

Prognosis of inner ear function in pneumolabyrinth: case report and literature review.

机构信息

Department of Otolaryngology, University of Toyama, Toyama City, Toyama Prefecture, Japan.

出版信息

Am J Otolaryngol. 2009 Nov-Dec;30(6):423-6. doi: 10.1016/j.amjoto.2008.07.010. Epub 2009 Mar 9.

Abstract

Pneumolabyrinth, the presence of air within the labyrinth, is a rare radiologic finding associated with a well-known perilymphatic fistula (PLF). As there are only 24 published case reports in medical literature, multiple treatment options for the pneumolabyrinth are available. We report a case of a 20-year-old man with a pneumolabyrinth secondary to tympanic membrane and ossicular trauma. Despite conservative treatment, sensorineural hearing loss (SNHL) had progressed rapidly, and his profound deafness had not recovered after surgical exploration with closure of the PLF. Functional prognostic factors of SNHL are revised and compared with this case.

摘要

气房迷路,即迷路内存在空气,是一种罕见的放射学表现,与熟知的前庭水管瘘(labyrinthine fistula,PLF)有关。由于医学文献中仅有 24 例报道,因此对于气房迷路,有多种治疗选择。我们报告了一例 20 岁男性,因鼓膜和听小骨外伤导致气房迷路。尽管进行了保守治疗,但感音神经性听力损失(sensorineural hearing loss,SNHL)仍迅速进展,并且在通过手术探查并闭合 PLF 后,他的深度耳聋仍未恢复。我们对 SNHL 的功能预后因素进行了修订,并与本例进行了比较。

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