Demaldent J E, Fougerol J, Meunier F
Ann Otolaryngol Chir Cervicofac. 1984;101(6):445-9.
Stapedovestibular ankylosis developed after a prolonged course of pure perception deafness in 3 patients, suggesting possible secondary fixation of the stapes from otospongiosis restricted to the cochlear up to that time. A precise diagnosis of pure cochlear otospongiosis is always difficult to make, its presence usually being supposed rather than confirmed in spite of clinical, audiometry and radiology data, except in those few cases where secondary ankylosis of the foot of the stapes occurs. These findings suggested the need for regular audiometric surveillance of all patients with perception deafness.
3例患者在长期单纯感音性聋病程后发生镫骨前庭关节强硬,提示当时局限于耳蜗的耳海绵化可能导致镫骨继发性固定。单纯耳蜗耳海绵化的准确诊断总是很难做出,尽管有临床、听力测定和放射学数据,其存在通常是推测而非证实,除非在少数发生镫骨足板继发性关节强硬的病例中。这些发现提示有必要对所有感音性聋患者进行定期听力监测。