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镫骨硬化症患者三次镫骨切除术失败后出现的上半规管裂:病例报告

Superior canal dehiscence in a patient with three failed stapedectomy operations for otosclerosis: a case report.

作者信息

Lehmann Martin, Ebmeyer Jörg, Upile Tahwinder, Sudhoff Holger H

机构信息

Department of Otolaryngology, Head and Neck Surgery, Bielefeld Academic Teaching Hospital, Münster University, Münster, Germany.

出版信息

J Med Case Rep. 2011 Feb 3;5:47. doi: 10.1186/1752-1947-5-47.

Abstract

INTRODUCTION

This case illustrates that superior semicircular canal dehiscence syndrome can be associated with a "pseudo"-conductive hearing loss, a symptom that overlaps with the clinical appearance of otosclerosis.

CASE PRESENTATION

We present the case of a 48-year-old German Caucasian woman presenting with hearing loss on the left side and vertigo. She had undergone three previous stapedectomies for hearing improvement. Reformatted high-resolution computed tomographic scanning and the patient's history confirmed the diagnosis of concurrent canal dehiscence syndrome.

CONCLUSION

Failure of hearing improvement after otosclerosis surgery may indicate an alternative underlying diagnosis which should be explored by further appropriate evaluation.

摘要

引言

本病例表明,上半规管裂综合征可伴有“假性”传导性听力损失,该症状与耳硬化症的临床表现重叠。

病例介绍

我们报告一例48岁德国白人女性,表现为左侧听力损失和眩晕。她之前曾接受过三次镫骨切除术以改善听力。重新格式化的高分辨率计算机断层扫描及患者病史证实了并发半规管裂综合征的诊断。

结论

耳硬化症手术后听力改善失败可能提示存在另一种潜在诊断,应通过进一步适当评估进行探究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d80/3040695/47c4660b9f7b/1752-1947-5-47-1.jpg

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