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梅尼埃病治疗中的超压

Overpressure in treatment of Meniere's disease.

作者信息

Densert B, Densert O

出版信息

Laryngoscope. 1982 Nov;92(11):1285-92. doi: 10.1288/00005537-198211000-00012.

DOI:10.1288/00005537-198211000-00012
PMID:6983015
Abstract

Influence of ambient pressure changes on the hearing levels in Meniere's disease was previously demonstrated, using a pressure chamber. The present report concerns a new method for management of Meniere's disease by local application of overpressure. The experimental background and methodologic considerations in therapy are summarized. Five illustrative cases of verified Meniere's disease are presented. The patients had advanced, nonfluctuating hearing loss and incapacitating vestibular symptoms. Long periods of remission were obtained in all cases. Improvement of hearing was a major clinical consideration in the treatment. Use of local overpressure seems to offer possibilities of improving hearing even in advanced stages of Meniere's disease. Despite the disabling pretreatment hearing loss, hearing in these 5 patients was restored to normal or serviceable levels. The follow-up period was about 2 years from start of treatment.

摘要

先前曾使用压力舱证明了环境压力变化对梅尼埃病听力水平的影响。本报告涉及一种通过局部施加超压来治疗梅尼埃病的新方法。总结了该治疗方法的实验背景和方法学考量。文中呈现了5例经证实的梅尼埃病典型病例。这些患者存在重度、稳定的听力损失以及使人丧失能力的前庭症状。所有病例均获得了长时间的缓解。听力改善是治疗中的主要临床考量因素。局部超压的使用似乎为改善梅尼埃病晚期的听力提供了可能。尽管这些患者在治疗前存在严重的听力损失,但这5例患者的听力恢复到了正常或可用水平。从治疗开始起的随访期约为2年。

相似文献

1
Overpressure in treatment of Meniere's disease.梅尼埃病治疗中的超压
Laryngoscope. 1982 Nov;92(11):1285-92. doi: 10.1288/00005537-198211000-00012.
2
Effect of atmospheric pressure on hearing in patients with Menière's disease.
Acta Otolaryngol Suppl. 1994;510:111-2. doi: 10.3109/00016489409127316.
3
Cochleo-vestibular correlations in Meniere's disease.梅尼埃病中的耳蜗-前庭相关性
Acta Otolaryngol. 1979;88(5-6):420-3. doi: 10.3109/00016487909137187.
4
[Vestibular and auditory functions in Ménière's disease].
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1996;31(3):149-52.
5
Ménière's disease in children aged 4-7 years.4至7岁儿童的梅尼埃病
Acta Otolaryngol. 2012 May;132(5):505-9. doi: 10.3109/00016489.2011.643240. Epub 2012 Jan 4.
6
Ménière's disease treatment: a patient-centered systematic review.梅尼埃病的治疗:一项以患者为中心的系统评价。
Audiol Neurootol. 2015;20(3):153-65. doi: 10.1159/000375393. Epub 2015 Mar 31.
7
Classification of Menière's disease.梅尼埃病的分类。
Am J Otol. 1993 May;14(3):224-9.
8
A unified hypothesis for vestibular dysfunction?关于前庭功能障碍的统一假说?
Otolaryngol Head Neck Surg. 2009 Apr;140(4):477-9. doi: 10.1016/j.otohns.2008.12.028.
9
Effects of overpressure on hearing function in Menière's disease.超压对梅尼埃病听力功能的影响。
Acta Otolaryngol. 1987 Jan-Feb;103(1-2):32-42. doi: 10.3109/00016488709134695.
10
On the differential diagnosis of Ménière's disease using low-frequency acoustic biasing of the 2f1-f2 DPOAE.应用 2f1-f2 DPOAE 低频声偏对梅尼埃病的鉴别诊断。
Hear Res. 2011 Dec;282(1-2):119-27. doi: 10.1016/j.heares.2011.09.002. Epub 2011 Sep 16.

引用本文的文献

1
Assessment of inner ear morphology and function in response to local positive pressure for Ménière's disease: a nonrandomized controlled trial.针对梅尼埃病的局部正压对内耳形态和功能的评估:一项非随机对照试验。
Sci Rep. 2022 Dec 1;12(1):20782. doi: 10.1038/s41598-022-25321-z.
2
Positive pressure therapy for Ménière's disease or syndrome.梅尼埃病或综合征的正压治疗
Cochrane Database Syst Rev. 2015 Mar 10;2015(3):CD008419. doi: 10.1002/14651858.CD008419.pub2.
3
Prognostic effect of hyperbaric oxygen therapy starting time for sudden sensorineural hearing loss.
高压氧治疗开始时间对突发性感音神经性听力损失的预后影响
Eur Arch Otorhinolaryngol. 2015 Jan;272(1):23-8. doi: 10.1007/s00405-013-2829-x. Epub 2013 Nov 24.