在患有先天性听力损失的儿童中,内面部神经的异常过程
Bouthaina Hammami1,2, Ines Kharrat1,2, Mariam Ben Ayed1,2
1Department of otorhinolaryngology head and neck surgery, Habib Bourguiba University Hospital, Sfax, Tunisia.
概括
先天性面部神经形很少见,但可以随着听力损失发生. 在手术前确定这些异常对于规划耳植入器手术至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科放射学 儿科放射学
- 神经科学是一个神经科学.
背景情况:
- 先天性面部神经 (FN) 缺陷是罕见的现象.
- 这些形可能与内耳异常有关,影响听力和平衡.
- 早期识别对于手术规划至关重要,特别是对于耳植入器.
研究的目的:
- 为了研究先天性面部神经形的临床和放射性特征.
- 为了确定相关的耳和前置器形的频率.
- 评估这些发现对耳植入外科手术规划的影响.
主要方法:
- 对患有深度神经传感性听力损失的儿科患者进行回顾性分析,这些患者正在接受耳植入评估.
- 对骨计算断层扫描 (CT) 和磁共振成像 (MRI) 进行评估,以检测FN和内耳异常.
- 记录特定的FN形类型和相关的内耳形.
主要成果:
- 在165名患者中的5名 (9个耳朵) 发现了面部神经形.
- 观察到的FN异常包括乳腺细分分叉,迷宫细分位移和生殖腺细胞缺血.
- 相关的内耳形,如前庭管道扩张,耳低成形,迷宫形和耳神经发生,都被注意到.
结论:
- 先天性面部神经形与先天性听力损失和其他骨异常有关.
- 术前放射学评估对于检测FN形至关重要.
- 鉴定辅助在优化手术策略的耳植入在受影响的儿童.
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