辐射诱导的感官神经听力损失和潜在管理
Emily M Ishak1, Matthew Gallitto1, Justin S Golub2
1Department of Radiation Oncology, Columbia University Vagelos College of Physicians and Surgeons, New York, New York.
Practical radiation oncology
|January 11, 2024
概括
治疗头和部瘤的辐射疗法可能会损害耳,导致听力损失. 早期的多学科管理和耳剂量限制对于保护听力和生活质量至关重要.
科学领域:
- 辐射瘤学 辐射瘤学
- 耳瘤学 耳瘤学
- 神经瘤学神经瘤学
背景情况:
- 耳器械对脑部,头部和部瘤的放射治疗 (RT) 非常敏感.
- 目前的RT指南存在于耳剂量限制,但听力损失仍然发生.
- 由RT引起的听力损失会导致内耳逐渐退化和骨化.
研究的目的:
- 为放射瘤学家提供关于耳剂量计考虑的指南.
- 概述管理放射治疗引起的听力损失的策略.
- 强调早期多学科方法的重要性.
主要方法:
- 审查当前的辐射疗法剂量限制对尾管.
- 讨论针对RT引起的听力损失的听力学和耳鼻喉学干预措施.
- 强调耳植入物在恢复听力方面的作用.
主要成果:
- 尽管有剂量限制,但放射治疗仍然会导致神经感官听力损失.
- 诸如助听器和耳植入物等干预措施可以减轻听力损失.
- 耳植入物对具有完整耳神经的患者有效.
结论:
- 早期的多学科方法对于管理RT引起的听力损失至关重要.
- 放射瘤学家必须考虑耳剂量测量约束和潜在的不良影响.
- 优化RT规划和管理可以改善患者的治疗结果和生活质量.
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