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耳部外科手术后的新发和早期发病的良性发性位置性

Arzu Kirbac¹, Handan Turan Dizdar², Ercan Kaya³

¹Faculty of Health Sciences, Department of Audiology, Eskişehir Osmangazi University, Eskişehir, 26480, Turkey. arzukirbac@gmail.com.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|September 4, 2024

概括

耳部外科手术可能会导致新出现的良性发性位置性 (BPPV) 病例. 这种情况经常影响后半圆形通道,即使在钻井程序后,也可以通过重新定位机动来控制.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经外科神经外科
静脉管疾病静脉管疾病

背景情况:

良性发性位置性 (BPPV) 是一种常见的内耳疾病.
耳科手术和BPPV发病之间的关系需要进一步调查.

研究的目的:

为了确定耳手术后新发性BPPV的发病率和临床特征.
为了比较BPPV的发生与没有手术钻孔在otologic程序.

主要方法:

一项对437名接受单边耳部外科手术的成年患者的回顾性审查.
包括在术后一个月内被诊断患有BPPV的患者.

主要成果:

手术后BPPV的总体发病率为2.28%.
钻井后的BPPV发病率为3%,没有钻井的发病率为1.16% (没有显著差异).
症状通常呈现为13天内后半圆通道canalolithiasis,对重新定位机动做出良好反应.

结论:

耳部外科手术,特别是钻孔,是BPPV的潜在危险因素.
手术后的BPPV通常涉及后部SCC,并通过重新定位有效治疗.
临床医生应监测BPPV在患有的病人后otologic手术.

关键词:

良性发性定位性头.钻探钻探钻探钻探耳部外科手术耳部外科手术术后治疗术后治疗

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