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Goodhill 综合征：病例报告。

Goodhill syndrome: a case report.

机构信息

Department of Otolaryngology and Cervicofacial Surgery, Hassan II University Hospital, Fes, Morocco.

出版信息

Pan Afr Med J. 2024 Apr 5;47:168. doi: 10.11604/pamj.2024.47.168.43187. eCollection 2024.

DOI:10.11604/pamj.2024.47.168.43187
PMID:39036014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11260051/
Abstract

Conductive hearing loss with a normal tympanic membrane is a common reason for otolaryngology consultation, with otospongiosis being the most frequent cause and House syndrome being extremely rare, requiring systematic investigation. We report the case of a 31-year-old woman who presented with conductive hearing loss with a normal tympanic membrane. A temporal bone computed tomography (CT) scan confirmed a House-Goodhill syndrome due to fixation of the malleus head. Surgical intervention was considered to remove the attic bone synostosis with the malleus head, resulting in a significant clinical improvement. The Goodhill syndrome is a rare condition that causes hearing loss with a normal eardrum. The surgery can highly improve the hearing function.

摘要

鼓膜正常的传导性听力损失是耳鼻喉科就诊的常见原因，耳硬化症是最常见的病因，而 House 综合征极为罕见，需要系统的检查。我们报告了一例 31 岁女性，她因鼓膜正常的传导性听力损失就诊。颞骨计算机断层扫描（CT）证实了镫骨固定导致的 House-Goodhill 综合征。考虑手术干预以去除带有镫骨头的鼓室天盖骨融合，从而显著改善了临床症状。Goodhill 综合征是一种导致鼓膜正常的听力损失的罕见病症。手术可以极大地改善听力功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/f51566f2d48b/PAMJ-47-168-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/ec962efd3c72/PAMJ-47-168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/f95797734d0f/PAMJ-47-168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/d3d62de3cfde/PAMJ-47-168-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/f51566f2d48b/PAMJ-47-168-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/ec962efd3c72/PAMJ-47-168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/f95797734d0f/PAMJ-47-168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/d3d62de3cfde/PAMJ-47-168-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa2/11260051/f51566f2d48b/PAMJ-47-168-g004.jpg

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本文引用的文献

1
Malleus head fixation: histopathology revisited.锤骨头固定术：组织病理学再探讨
Acta Otolaryngol. 2006 Apr;126(4):353-7. doi: 10.1080/00016480500390345.
2
A new approach for malleus/incus fixation: no prosthesis necessary.锤骨/砧骨固定的新方法：无需假体。
Otol Neurotol. 2004 Sep;25(5):669-73. doi: 10.1097/00129492-200409000-00004.
3
Malleus fixation: clinical and histopathologic findings.锤骨固定：临床与组织病理学发现
Ann Otol Rhinol Laryngol. 2002 Mar;111(3 Pt 1):246-54. doi: 10.1177/000348940211100309.
4
Idiopathic malleus head fixation as a cause of a combined conductive and sensorineural hearing loss.特发性锤骨头固定作为传导性和感音神经性混合性听力损失的一个病因
Clin Otolaryngol Allied Sci. 1981 Feb;6(1):39-44. doi: 10.1111/j.1365-2273.1981.tb01784.x.
5
Primary malleus fixation: diagnosis and treatment.原发性锤骨固定：诊断与治疗
Laryngoscope. 1981 Aug;91(8):1298-307. doi: 10.1288/00005537-198108000-00012.
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The fixed malleus syndrome.固定锤骨综合征
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The histopathology of the congenital fixed malleus syndrome.先天性固定锤骨综合征的组织病理学
Laryngoscope. 1971 Aug;81(8):1304-13. doi: 10.1288/00005537-197108000-00013.
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Bony fixation of the malleus and incus.锤骨和砧骨的骨性固定。
Acta Otolaryngol. 1970 Aug;70(2):95-104. doi: 10.3109/00016487009181864.