Millen S J, Toohill R J, Lehman R H
Laryngoscope. 1982 Jun;92(6 Pt 1):613-7. doi: 10.1002/lary.1982.92.6.613.
Sudden sensorineural hearing loss is a well recognized phenomenon in otologic practice with both viral and vascular etiologies being supported. However, sudden hearing loss as a complication of non-otologic surgical procedure is a seldom reported and rare phenomenon. Five cases of unilateral sudden sensorineural hearing loss which are time related and probably causally related to non-otologic surgery are presented. Two cases underwent open heart surgery and support previous reports of hearing loss secondary to cardiopulmonary bypass procedures. Three noncardiac cases are also reviewed. None of these patients had prior otologic disease which would predispose to a sudden hearing loss, and no intraoperative or postoperative complication was specifically noted as a cause of the hearing loss. The literature is reviewed and attention is drawn to the problem. We wish to encourage further reports and to recommend early identification and treatment in those cases related to cardiopulmonary bypass.
突发性感音神经性听力损失是耳科临床中一种公认的现象，病毒和血管病因均有相关支持。然而，作为非耳科手术并发症的突发性听力损失是一种鲜有报道的罕见现象。本文报告了5例与时间相关且可能与非耳科手术有因果关系的单侧突发性感音神经性听力损失病例。其中2例接受了心脏直视手术，支持了先前关于体外循环手术后听力损失的报道。另外还回顾了3例非心脏手术病例。这些患者均无先前易导致突发性听力损失的耳科疾病，且未明确指出术中或术后并发症是听力损失的原因。本文对相关文献进行了综述，并提请关注这一问题。我们希望鼓励更多的报道，并建议对那些与体外循环相关的病例进行早期识别和治疗。
