von Glass W, Philipp A
HNO-Klinik, Universität Erlangen-Nürnberg.
HNO. 1988 Sep;36(9):373-6.
To investigate whether otosclerotic foci in the bony capsule of the cochlea and labyrinth can be demonstrated by high-resolution computed tomography, CT images from 31 patients suspected of having cochlear otosclerosis were submitted to a retrospective analysis. Fourteen of the patients had a clinically confirmed otosclerosis associated with an advanced mixed hearing loss. In four of these cases, fresh otospongiotic foci were detected in the bone of the cochlear capsule, while older otosclerotic foci were not demonstrated. In fifteen patients with progressive, purely sensorineural hearing loss, no otospongiotic foci were detected in the cochlear capsule. In contrast, such foci were observed in two deaf patients in whom otosclerosis had been suspected.
为了研究高分辨率计算机断层扫描是否能够显示耳蜗和迷路骨囊中的耳硬化病灶,我们对31例疑似耳蜗性耳硬化患者的CT图像进行了回顾性分析。其中14例患者临床上确诊为耳硬化并伴有重度混合性听力损失。在其中4例病例中,在耳蜗囊骨中检测到新鲜的耳海绵化病灶,而未发现陈旧性耳硬化病灶。15例进行性、纯感音神经性听力损失患者的耳蜗囊中未检测到耳海绵化病灶。相比之下,在2例疑似耳硬化的耳聋患者中观察到了此类病灶。