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一例慢性化脓性中耳炎合并肺迷路形成——一种罕见病例

Pneumolabyrinth in a Case of Squamous Chronic Otitis Media - a Rare Entity.

作者信息

L Prasanth, Abraham Anncy V, Shivayogimath Kathyayini, Singh Roohie, Kumar S Hari, Dutta Angshuman

机构信息

Department of ENT-HNS, Command Hospital (Eastern Command), Kolkata, India.

Department of ENT-HNS, Command Hospital (Air Force), Bangalore, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5940-5943. doi: 10.1007/s12070-024-05004-z. Epub 2024 Aug 30.

Abstract

Pneumolabyrinth is a rare entity in a case of squamous chronic otitis media in the practice of otology. We report a case of 56 year male, a known case of Squamous Chronic Otitis Media who was diagnosed as a case of Pneumolabyrinth associated with a Perilymphatic fistula. Diagnosis was done with the help of audiometry and High-Resolution Computed Tomography of Temporal Bone in background of his symptoms. Tympanomastoid exploration revealed a perilymphatic fistula at round window and a labyrinthine fistula of Lateral semicircular canal. The sealing of defect was performed with reinforcement technique by utilizing fascia and fibrin glue.

摘要

在耳科学实践中,肺性迷路在慢性化脓性中耳炎病例中是一种罕见的情况。我们报告一例56岁男性,他是慢性化脓性中耳炎患者,被诊断为与外淋巴瘘相关的肺性迷路。根据其症状,通过听力测定和颞骨高分辨率计算机断层扫描进行诊断。鼓室乳突探查发现圆窗处有外淋巴瘘,外侧半规管有迷路瘘。利用筋膜和纤维蛋白胶通过加固技术封闭缺损。

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本文引用的文献

6
Sudden deafness and round window rupture.突发性耳聋与圆窗破裂
Laryngoscope. 1971 Sep;81(9):1462-74. doi: 10.1288/00005537-197109000-00010.
10
Perilymph fistulas. Diagnostic criteria and therapy.外淋巴瘘。诊断标准与治疗。
Ann Otol Rhinol Laryngol. 1978 Nov-Dec;87(6 Pt 1):797-803. doi: 10.1177/000348947808700606.

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