具有鼻源的客观耳
Ki-Won Kim1, Gilmoon Lee1, Ick Soo Choi1
1Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Ear, nose, & throat journal
|August 20, 2023
概括
我们描述了一个罕见的客观声病例,由鼻肌肉收缩引起. 这种不寻常的情况,在吞时有声音的特征,强调了彻底的体检对于诊断耳的重要性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
背景情况:
- 客观性耳是一个罕见的疾病,患者可以感知来自自己身体内的声音.
- 常见的原因包括血管异常, palatal myoclonus,和病变的尤斯塔希安管.
研究的目的:
- 报告一个客观耳的新案例.
- 描述这个特定患者声音生成的独特机制.
- 强调体检在诊断不寻常的耳病因方面的作用.
主要方法:
- 一个49岁的女性患者的病例报告,呈现出客观的耳声.
- 详细检查鼻,包括在发声和吞过程中的观察.
- 评估与声音产生有关的解剖结构.
主要成果:
- 患者在说话和吞时表现出来自鼻腔的非故意声音,类似于唇.
- 身体检查显示,后鼻壁和体管道有过度缩.
- 自愿的肌肉努力导致后喉壁突出,与状管发生碰撞,并在分离时产生声音.
结论:
- 鼻肌肉收缩可以诱导一种新型的客观耳声.
- 这一案例强调了全面体检对于诊断耳的罕见原因的重要性.
- 虽然提供了Botox注射,但患者拒绝接受治疗,需要进一步的管理策略.
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