Master Adam, Wilkinson Eric, Wagner Richard
House Ear Clinic, Department of Otolaryngology Head and Neck Surgery, Division of Otology, UCLA, 2300 West Third Street, Los Angeles, CA 90059, USA; House Ear Clinic, Department of Otolaryngology Head and Neck Surgery, Division of Neurotology, UCLA, 2300 West Third Street, Los Angeles, CA 90059, USA; House Ear Clinic, Department of Otolaryngology Head and Neck Surgery, Division of Skull Base Surgery, UCLA, 2300 West Third Street, Los Angeles, CA 90059, USA.
House Ear Clinic, 2300 West Third Street, Los Angeles, CA 90059, USA.
Otolaryngol Clin North Am. 2018 Jun;51(3):593-605. doi: 10.1016/j.otc.2018.01.017. Epub 2018 Mar 7.
Chronic ear disease is a major cause of acquired hearing loss in the developing world. It is prevalent on every continent, but occurs more commonly in poorer nations owing to a lack of preventative measures. This article outlines the particular challenges in treating this disease in the developing world, including a discussion of surgical management and special situations. Otosclerosis is another surgically treatable cause of hearing loss that is found throughout the developing world. Surgeons working in these environments should be prepared to deal with advanced otosclerotic disease.
慢性耳部疾病是发展中国家后天性听力损失的主要原因。它在各大洲都很普遍,但由于缺乏预防措施,在较贫穷国家更为常见。本文概述了在发展中国家治疗这种疾病所面临的特殊挑战,包括手术治疗和特殊情况的讨论。耳硬化症是另一种在整个发展中国家都存在的可通过手术治疗的听力损失原因。在这些环境中工作的外科医生应做好应对晚期耳硬化症疾病的准备。