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异常血管压迫听骨链导致的传导性听力损失。

Conductive hearing loss from ossicular compression by aberrant vessel.

作者信息

Almutairi Homood M, Alanazi Noura F, Alboqamie Abdulrahman Fahad, Alalayat Lulwah

机构信息

Department of Otolaryngology - Head and Neck Surgery, Prince Sultan Military Medical City, Makkah Al Mukarramah Branch Road, As Sulimaniyah District, Riyadh 11159, Saudi Arabia.

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Prince Muteb bin Abdullah bin Abdulaziz Road, Al Rimayah District, Riyadh 11426, Saudi Arabia.

出版信息

J Surg Case Rep. 2025 Sep 6;2025(9):rjaf711. doi: 10.1093/jscr/rjaf711. eCollection 2025 Sep.

DOI:10.1093/jscr/rjaf711
PMID:40917718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12413858/
Abstract

Middle ear vascular anomalies are an uncommon and frequently overlooked cause of conductive hearing loss (CHL). Their clinical presentation can mimic more prevalent conditions, making diagnosis and management challenging. Without appropriate imaging and evaluation, such cases may lead to unnecessary and potentially harmful interventions. We report the case of a 31-year-old woman with chronic right-sided CHL due to a vascular anomaly compressing the ossicles. This case underscores the critical role of high-resolution imaging in diagnosing rare etiologies of CHL and guiding safe, informed management.

摘要

中耳血管异常是传导性听力损失（CHL）的一种罕见且常被忽视的病因。它们的临床表现可能类似于更常见的病症，这使得诊断和治疗具有挑战性。如果没有适当的影像学检查和评估，此类病例可能会导致不必要且可能有害的干预措施。我们报告了一例31岁女性因血管异常压迫听小骨而导致慢性右侧CHL的病例。该病例强调了高分辨率成像在诊断CHL罕见病因以及指导安全、明智治疗方面的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0109/12413858/59ca10810e84/rjaf711f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0109/12413858/05fe8920811a/rjaf711f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0109/12413858/e5bfbf10cdc1/rjaf711f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0109/12413858/59ca10810e84/rjaf711f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0109/12413858/05fe8920811a/rjaf711f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0109/12413858/e5bfbf10cdc1/rjaf711f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0109/12413858/59ca10810e84/rjaf711f3.jpg

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本文引用的文献

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Persistent Stapedial Artery Encountered during Cochlear Implantation.人工耳蜗植入术中遇到永存镫骨动脉。
Case Rep Otolaryngol. 2022 Feb 22;2022:8179062. doi: 10.1155/2022/8179062. eCollection 2022.
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Persistent Conductive Hearing Loss After Tympanostomy Tube Placement Due to High-Riding Jugular Bulb.鼓室成形术后由于高位颈静脉球导致持续性传导性听力损失。
Laryngoscope. 2021 Apr;131(4):E1272-E1274. doi: 10.1002/lary.28920. Epub 2021 Jan 29.
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Analysis of Stroke Detection during the COVID-19 Pandemic Using Natural Language Processing of Radiology Reports.利用放射学报告的自然语言处理分析 COVID-19 大流行期间的中风检测。
AJNR Am J Neuroradiol. 2021 Mar;42(3):429-434. doi: 10.3174/ajnr.A6961. Epub 2020 Dec 17.
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Medicine (Baltimore). 2018 Jun;97(26):e11067. doi: 10.1097/MD.0000000000011067.
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Otol Neurotol. 2017 Jul;38(6):788-791. doi: 10.1097/MAO.0000000000001466.
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Ultrasonographic, CTI and MRI of Aberrant Internal Carotid Artery: Infrequent but Important to Know.异常颈内动脉的超声、CT血管造影和磁共振成像：虽不常见但需了解
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The persistent stapedial artery.永存镫骨动脉。
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