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痛风创伤诱导的临淋巴囊:视频头部脉冲测试和高分辨率的骨计算机断层扫描在评估和随访中的作用

Yoni E Gutkovich¹, Lev Shlizerman¹, Miki Paker¹

¹Department of Otolaryngology-Head and Neck Surgery, Haemek Medical Center, Afula, Israel;Technion-Israel Institute of Technology, Rappaport Faculty of Medicine,Haifa, Israel.

The journal of international advanced otology

|August 2, 2023

概括

一名跳者因巴罗创伤引起的膜囊出现了突然的听力损失和头. 视频头部冲动测试证实前庭功能障碍,手术修复后改善.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经学神经学
垂体科学垂体科学

背景情况:

跳等活动的巴罗创伤会导致内耳受伤.
膜,是隔离中耳和内耳的膜的撕裂,可以导致听力损失和头.
扩大的前置水道是已知的危险因子,为perilymph fistula.

研究的目的:

报告一个巴罗创伤诱导的危险淋巴管的病例,这是娱乐跳的次要原因.
突出视频头部脉冲测试 (vHIT) 在诊断和监测临管中的前庭功能中的实用性.
讨论手术修复的管理和结果.

主要方法:

一个女性跳者单方面听力损失和头的案例介绍.
诊断评估包括视频头脉冲测试 (vHIT) 和高分辨率计算机断层扫描 (HRCT).
手术涉及探索性 tympanotomy 和修复的圆形窗口的围淋巴泄漏.

主要成果:

患者出现了严重的单边听力损失和,vHIT显示收益减少和纠正的动.
HRCT揭示了受影响侧面扩大的前庭水道.
手术后,前体症状得到缓解,vHIT显示恢复正常功能,尽管听力仍然无法维护.

结论:

视频头部脉冲测试是评估巴罗创伤诱导的周周淋巴的前庭功能的一个有价值的工具.
手术修复可以有效地恢复前庭功能,即使有持续的听力缺陷.
扩大的前庭水道的存在需要考虑风险和复发.

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