Ear, Nose, and Throat Institute, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, OH, USA.
Ear, Nose, and Throat Institute, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, OH, USA.
Am J Otolaryngol. 2014 May-Jun;35(3):417-23. doi: 10.1016/j.amjoto.2014.01.004. Epub 2014 Jan 10.
Congenital labyrinthine cholesteatoma can cause varying degrees of hearing loss and vertigo. Hearing preservation is not always possible when treatment involves total labyrinthectomy. Since 1969, there have been several case reports and case series documenting hearing preservation following surgical treatment of congenital labyrinthine cholesteatoma. However, none of the case reports or case series documents the patients' vestibular complaints after surgery. Herein, we report a case series of four patients who were treated with the goal of hearing preservation and resolution of vertigo after partial or complete removal of the bony labyrinth for congenital inner ear cholesteatoma. We will also discuss possible explanations for the mechanisms of preservation of hearing and vestibular function with a review of the current literature.
先天性迷路胆脂瘤可导致不同程度的听力损失和眩晕。当治疗涉及全迷路切除术时,听力保护并非总是可行。自 1969 年以来,已有几例病例报告和病例系列记录了先天性迷路胆脂瘤手术治疗后的听力保护。然而,这些病例报告或病例系列均未记录患者手术后的前庭主诉。在此,我们报告了一系列 4 例患者的病例,这些患者因先天性内耳胆脂瘤而行部分或全部去除骨迷路,以达到听力保护和眩晕缓解的治疗目的。我们还将讨论听力和前庭功能保护机制的可能解释,并回顾当前文献。