Garzón Calles J A
Jefe de Servicio de Otorrinolaringología, Hospital del INSALUD de Soria.
An Otorrinolaringol Ibero Am. 1996;23(4):367-74.
An unique ear refers to those cases of individuals with an air and/or bone conduction allowing a serviceable hearing in one ear, being the other one totally lost, owing to any disease. So it is relatively frequent patients presenting only one ear normal, being the other one deaf. The puzzle rises when the sole running good ear must be operated, for whichever pathology. It may be that these various circumstances were: double cholesteatoma, cholesteatoma with extreme loss of hearing, otosclerosis with total deafness and even patients with chronic middle ear otitis and progressive impairment of bilateral hearing. Before to take the final decision on behalf of surgery we must consider: the ear condition, the age and physical state, the job and the social activity and finally the desire and resolution of the patient himself as well. The paper explain our experience in dealing with 10 solitary ears seen in the last 6 years.
单耳是指因任何疾病导致一只耳朵有气导和/或骨导且听力尚可，而另一只耳朵完全失聪的个体情况。所以临床上相对常见的是患者只有一只耳朵正常，另一只耳朵失聪。当仅有的这只听力正常的耳朵因任何病理情况必须进行手术时，问题就出现了。这些情况可能包括：双侧胆脂瘤、伴有极重度听力损失的胆脂瘤、导致全聋的耳硬化症，甚至还有慢性中耳中耳炎且双侧听力进行性减退的患者。在代表患者做出最终手术决定之前，我们必须考虑：耳朵状况、年龄和身体状况、工作和社会活动情况，以及患者本人的意愿和决心。本文阐述了我们在过去6年中处理10例单耳病例的经验。
