Steel K P, Bock G R
Arch Otolaryngol. 1983 Jan;109(1):22-9. doi: 10.1001/archotol.1983.00800150026005.
A classification scheme for inner-ear abnormalities is defined, based on animals with hereditary inner-ear defects. Three major groups are (1) morphogenetic abnormalities, involving gross structural deformities of the labyrinth; (2) neuroepithelial abnormalities, in which there appears to be a primary organ of Corti defect and Reissner's membrane remains in its normal position; and (3) cochleosaccular abnormalities, showing collapse of Reissner's membranes and restriction of vestibular abnormalities to the saccule. Recent experimental findings in hearing-impaired animal mutants are taken into account. The relevance of the classification of scheme to conditions in humans is discussed. It is suggested that the Mondini and Michel deformities in humans are best considered together in the morphogenetic group. Some cases of inner-ear abnormality in humans might be considered as belonging to the neuroepithelial group.
基于患有遗传性内耳缺陷的动物,定义了一种内耳异常的分类方案。主要分为三大类:(1)形态发生异常,涉及迷路的总体结构畸形;(2)神经上皮异常,其中似乎存在柯蒂器原发性缺陷,而Reissner膜保持在其正常位置;(3)耳蜗球囊异常,表现为Reissner膜塌陷,前庭异常仅限于球囊。文中考虑了近期听力受损动物突变体的实验结果,并讨论了该分类方案与人类病症的相关性。研究表明,人类的Mondini畸形和Michel畸形最好归为形态发生异常组。人类内耳异常的某些病例可能属于神经上皮异常组。