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骨帽遮挡技术治疗阔窗型上半规管。

Cartilage cap occlusion technique for dehiscent superior semicircular canals.

机构信息

Mayo Clinic Florida, Jacksonville, Florida 32224, USA.

出版信息

Otol Neurotol. 2011 Oct;32(8):1281-4. doi: 10.1097/MAO.0b013e31822e5b27.

DOI:10.1097/MAO.0b013e31822e5b27
PMID:21897326
Abstract

OBJECTIVE

Assessment of a cartilage cap occlusion of dehiscent superior semicircular canals via a transmastoid and tegmen mini-craniotomy approach surgical technique.

STUDY DESIGN

Retrospective case review.

SETTING

Tertiary referral center.

PATIENTS

Thirty-seven patients over a 2 year time period underwent cartilage cap occlusion of a dehiscent superior semicircular canal.

INTERVENTION

Therapeutic.

MAIN OUTCOME MEASURE

Subjective improvement and/or resolution of dizziness postoperatively.

RESULTS

Of 37 patients, 29 (78%) felt much better and had resolution of their dizziness. Of 37 patients, 5 (14%) felt some definite improvement, although not complete resolution. Two patients (5%) felt their dizziness was neither better nor worse, and 1 patient (3%) felt dizziness was worse after surgery.

CONCLUSION

The cartilage cap occlusion technique of dehiscent superior semicircular canals via a transmastoid and tegmen mini-craniotomy approach is a good option for managing symptomatic patients with a dehiscent superior semicircular canal.

摘要

目的

评估经乳突和天幕微型颅切开术治疗开放型上半规管的软骨帽封闭术。

研究设计

回顾性病例研究。

设置

三级转诊中心。

患者

在 2 年的时间内,有 37 名患者接受了开放型上半规管的软骨帽封闭术。

干预措施

治疗性。

主要观察指标

术后头晕的主观改善和/或缓解。

结果

37 名患者中,29 名(78%)感觉好多了,头晕症状得到缓解。37 名患者中,5 名(14%)感觉有一定程度的改善,但未完全缓解。2 名患者(5%)感觉头晕既没有改善也没有恶化,1 名患者(3%)感觉手术后头晕更严重。

结论

经乳突和天幕微型颅切开术治疗开放型上半规管的软骨帽封闭术是治疗有症状的开放型上半规管患者的一种较好选择。

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Cartilage cap occlusion technique for dehiscent superior semicircular canals.骨帽遮挡技术治疗阔窗型上半规管。
Otol Neurotol. 2011 Oct;32(8):1281-4. doi: 10.1097/MAO.0b013e31822e5b27.
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Dizziness handicap after cartilage cap occlusion for superior semicircular canal dehiscence.软骨帽封闭治疗上半规管裂术后头晕残障。
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Clin Neuroradiol. 2021 Dec;31(4):933-941. doi: 10.1007/s00062-021-01037-x. Epub 2021 Jun 7.
2
Recent surgical options for vestibular vertigo.前庭性眩晕的近期手术治疗方案
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2017 Dec 18;16:Doc01. doi: 10.3205/cto000140. eCollection 2017.
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Transmastoid resurfacing versus middle fossa plugging for repair of superior canal dehiscence: Comparison of techniques from a retrospective cohort.
经乳突表面重建术与中颅窝填塞术治疗半规管裂:一项回顾性队列研究的技术比较
World J Otorhinolaryngol Head Neck Surg. 2016 Dec 4;2(3):161-167. doi: 10.1016/j.wjorl.2016.11.001. eCollection 2016 Sep.
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Heterogeneity in Reported Outcome Measures after Surgery in Superior Canal Dehiscence Syndrome-A Systematic Literature Review.上半规管裂综合征手术后报告的结局指标的异质性——一项系统文献综述
Front Neurol. 2017 Jul 24;8:347. doi: 10.3389/fneur.2017.00347. eCollection 2017.