Vilhena Ditza, Pereira Luís, Duarte Delfim, Oliveira Nuno
Department of Otolaryngology & Head-Neck Surgery, Hospital Pedro Hispano, 4464-513 Matosinhos, Portugal.
Department of Anesthesiology, Hospital São João, Porto, Portugal.
Case Rep Otolaryngol. 2016;2016:4295601. doi: 10.1155/2016/4295601. Epub 2016 Jan 21.
Postoperative hearing loss following nonotologic surgery is rare. For patients undergoing subarachnoid anesthesia, the loss of cerebral spinal fluid and hence the drop in intracranial pressure can result in hearing loss and cranial nerve palsy. We report a case in which a patient sustained orthopedic surgery under combined spinal and epidural anesthesia complicated by severe and persistent sensorineural hearing loss. This report is a reminder that postoperative sudden sensorineural hearing loss is a poorly understood complication. A high index of suspicion is required for early diagnosis of this complication, although prompt treatment does not guarantee a good outcome.
非耳科手术后发生的听力损失很少见。对于接受蛛网膜下腔麻醉的患者，脑脊液流失以及由此导致的颅内压下降可引起听力损失和颅神经麻痹。我们报告了一例患者，其在腰麻联合硬膜外麻醉下接受骨科手术，并发严重且持续的感音神经性听力损失。本报告提醒我们，术后突发性感音神经性听力损失是一种了解甚少的并发症。尽管及时治疗并不能保证良好的预后，但对此并发症进行早期诊断需要高度的怀疑指数。
