在患有脉动性耳的人中,修复手术的原因和结果
Ye Ji Shim1, Hanju Lee2, Sung-Min Park3
1Department of Otorhinolaryngology-Head and Neck Surgery, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Republic of Korea.
Frontiers in neurology
|August 9, 2023
概括
对脉动性耳 (PT) 的修复手术可以成功治疗持久症状. 仔细评估和持久的外科手术方法可以尽量减少PT患者重复手术的需要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 血管外科 血管外科
背景情况:
- 脉冲性耳声 (PT) 通常需要手术或干预治疗.
- 一些患者在初始治疗后出现残留或复发的PT,需要修订程序.
- 确定原因和优化外科手术技术对于管理复发性PT至关重要.
研究的目的:
- 报告一系列患者的病例,这些患者因持续性或复发性PT而接受修复手术或干预治疗.
- 分析PT的修订程序的结果.
- 建议策略,以尽量减少对PT患者修复手术的需要.
主要方法:
- 在2014年1月至2023年3月期间,对七名接受了PT修复手术或干预治疗的患者进行了回顾性分析.
- 审查人口统计数据,修订原因,以及手术前后症状变化.
- 对骨进行计算机断层扫描血管学分析,以确定潜在的病理.
主要成果:
- 六名患者接受了sigmoid sinus (SS) 复苏/重塑,以改变分泌体或脱落;三名患者有明显的PT解决,两名患者有部分改善.
- 一名患者接受了球 (JB) 复苏,以换取具有骨衰变的高骑行JB,报告了明显的PT改善.
- 一名患有并发性硬性动脉静脉囊的患者接受了栓塞,明显改善了PT.
结论:
- 修复性手术可以有效治疗持久或复发的脉动性耳声.
- 综合的病因评估和使用耐用的外科材料可以尽量减少复发.
- 仔细的手术规划是必不可少的,以减少需要PT修复手术的可能性.
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