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从长期感音神经性听力损失中恢复。

Recovery from prolonged sensorineural hearing loss.

作者信息

Bailey C M, Graham M D, Lawrence M

出版信息

Am J Otol. 1982 Jul;4(1):1-8.

PMID:7114183
Abstract

Five cases of sensorineural hearing loss are presented in which partial or complete recovery of hearing occurred after periods of deafness lasting from three months to more than five years. Three of the cases were diagnosed as Meniere's disease, one as sudden deafness of probable viral origin, and one as idiopathic sudden deafness. A review of the literature reveals brief mention of only a few similar cases, although it is suspected that the phenomenon is not as rare as these isolated reports suggest. It is proposed on the basis of experimental work in animals that the reversible deafness in these patients may be due to temporary obstruction of capillaries in the stria vascularis, which produces strial hypoxia resulting in a reduction in the endolymphatic potential, with consequent hearing loss.

摘要

本文报告了5例感音神经性听力损失病例,这些病例在失聪3个月至5年以上后听力出现部分或完全恢复。其中3例被诊断为梅尼埃病,1例为可能由病毒引起的突发性耳聋,1例为特发性突发性耳聋。文献综述显示,仅有少数类似病例被简要提及,尽管有人怀疑这种现象并不像这些孤立的报告所显示的那样罕见。基于对动物的实验研究,有人提出这些患者的可逆性耳聋可能是由于血管纹毛细血管的暂时阻塞,这会导致血管纹缺氧,从而使内淋巴电位降低,进而导致听力损失。

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