Martin H, Martin C
Ann Otolaryngol Chir Cervicofac. 1977 Dec;94(12):679-99.
The problem of fluctuating deafness merits a separate place in otological pathology. On the basis of 52 cases of recurrent fluctuations in hearing in patients observed over a sufficiently long period, the authors provide evidence to the effect that, in addition to pressure disturbances accepted up to now, other mechanisms may be responsible. An aetiological study emphasises the role of local factors, but examination for general causes is also necessary. Clinical study of fluctuating deafness also reveals interesting data which, taken in combination with pathogenic hypotheses, are of therapeutic significance.
波动性耳聋问题在耳科病理学中值得单独论述。基于对52例患者进行了足够长时间观察的复发性听力波动情况，作者提供证据表明，除了目前公认的压力干扰外，其他机制也可能起作用。病因学研究强调局部因素的作用，但对全身病因的检查也很有必要。对波动性耳聋的临床研究还揭示了一些有趣的数据，这些数据与致病假说相结合具有治疗意义。
