Shilton H, Hodgson M, Burgess G
Department of Surgery, Southern Health, Clayton, Victoria, Australia.
Hyperbaric Medicine, Brunswick Private Hospital, Victoria, Australia.
J Laryngol Otol. 2014 Jan;128 Suppl 1:S50-4. doi: 10.1017/S0022215113001308. Epub 2013 Jun 6.
We report the first use in Australia of hyperbaric oxygen therapy for sudden hearing loss following head trauma in a child with large vestibular aqueduct syndrome.
A 12-year-old boy with large vestibular aqueduct syndrome presented with significant hearing loss following head trauma. He was treated with steroids and hyperbaric oxygen therapy, with good improvement of hearing thresholds on audiography. This case represents the first reported use of hyperbaric oxygen therapy for this indication in Australia, following a few previous reports of patients in Japan. We review the literature on management of acute sensorineural hearing loss in large vestibular aqueduct syndrome. The reported case demonstrates a potentially beneficial therapy for a rare condition that usually results in an inevitable decline in hearing.
Hyperbaric oxygen therapy can be tolerated well by children, and may represent a potential treatment for sudden sensorineural hearing loss in patients with large vestibular aqueduct syndrome.
我们报告了澳大利亚首次将高压氧疗法用于一名患有大前庭导水管综合征的儿童头部外伤后突发听力损失的治疗。
一名患有大前庭导水管综合征的12岁男孩在头部外伤后出现严重听力损失。他接受了类固醇和高压氧疗法治疗，听力阈值在听力图检查中有明显改善。该病例是澳大利亚首次报道将高压氧疗法用于此适应症，此前日本有少数相关患者的报道。我们回顾了关于大前庭导水管综合征急性感音神经性听力损失管理的文献。该报告病例证明了一种对通常会导致听力不可避免下降的罕见病症可能有益的治疗方法。
儿童对高压氧疗法耐受性良好，高压氧疗法可能是大前庭导水管综合征患者突发感音神经性听力损失的一种潜在治疗方法。
