Carneiro Sandra N, Guerreiro Ditza V, Cunha Anita M, Camacho Óscar F, Aguiar Isabel C
Undersea Hyperb Med. 2016 Mar-Apr;43(2):153-9.
The management of sudden sensorineural hearing loss following spinal anesthesia is currently an open problem. Several strategies have been used with variable results and, to the best of our knowledge, there are no prior accounts in the literature on the use of hyperbaric oxygen therapy in the treatment of this complication. We report two cases of acute onset of unilateral hearing loss after spinal anesthesia, with significantly improved results after hyperbaric oxygen therapy. A hypothesis on the possible mechanism behind this complication is discussed. A relation is established between hyperbaric oxygen therapy and this hypothetical mechanism, in order to explain successful results in the reported cases.
脊髓麻醉后突发感音神经性听力损失的管理目前仍是一个未解决的问题。已经采用了几种策略，结果各不相同，据我们所知，文献中此前没有关于使用高压氧疗法治疗这种并发症的报道。我们报告了两例脊髓麻醉后急性单侧听力损失的病例，高压氧治疗后结果有显著改善。讨论了关于这种并发症背后可能机制的一种假设。建立了高压氧疗法与这种假设机制之间的关联，以解释所报告病例中的成功结果。
