Aviel A, Ostfeld E
Am J Otolaryngol. 1982 May-Jun;3(3):217-22. doi: 10.1016/s0196-0709(82)80058-6.
The development of irreversible sensorineural hearing loss (SNHL) in three patients having chronic otitis media with effusion of the serous or mucoid type is described. Anamnestic, clinical, and laboratory investigations revealed no evidence of known etiologic factors, diseases, or conditions that could have induced inner ear damage. It seems that the pathogenetic mechanism of this complication of chronic otitis media with effusion is penetration of infectious agents or their toxic products from the middle ear to the inner ear through the round window membrane. The SNHL may be of different types and degrees, from a high-tone hearing loss to complete anacusis. The development of SNHL was not prevented or influenced by the insertion of tympanostomy tubes.
本文描述了三名患有浆液性或黏液性慢性中耳炎伴积液患者发生不可逆感音神经性听力损失（SNHL）的情况。既往史、临床及实验室检查均未发现可能导致内耳损伤的已知病因、疾病或状况。似乎这种慢性中耳炎伴积液并发症的发病机制是感染因子或其毒性产物通过圆窗膜从中耳渗入内耳。SNHL可能有不同类型和程度，从高音调听力损失到完全失聪。鼓膜造孔管的插入并不能预防或影响SNHL的发生。
