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[内耳畸形。镫骨切除术中的脑脊液耳漏]

[Malformation of the inner ear. Cerebrospinal otorrhea in stapedectomy].

作者信息

Welleschik B, Salomonowitz E

出版信息

Laryngol Rhinol Otol (Stuttg). 1986 Dec;65(12):688-90.

PMID:3807609
Abstract

Otoliquorrhoea occurred during stapedectomy (gusher) and signified a case of inner ear malformation which was not apparent on preoperative tomograms but could be demonstrated on postoperative CT scans. There was no bony separation between the irregularly dilated inner auditory canal and the vestibulum. The cochlea was not fully rotated. Intraoperative problems in such malformations may lead to further postoperative hearing impairment. Hence, we report on the clinical, operative and CT findings in order to avoid an operation in patients with similar signs and symptoms.

摘要

镫骨切除术中出现耳漏(喷射性),这表明存在内耳畸形,术前断层扫描未显示明显异常,但术后CT扫描可显示。不规则扩张的内耳道与前庭之间没有骨质分隔。耳蜗未完全旋转。此类畸形的术中问题可能导致术后听力进一步受损。因此,我们报告临床、手术及CT检查结果,以便避免对有类似体征和症状的患者进行手术。

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