鼓室成形术后术耳全频骨导听力下降6例及文献复习

Postoperative full-frequency bone conduction hearing loss in the operated ear after tympanoplasty:6 cases and literature review

刘衡;梅凌云;贺楚峰;蔡鑫章;吴学文;蒋璐

1:中南大学湘雅医院耳鼻咽喉头颈外科

2:耳鼻咽喉重大疾病湖南省重点实验室

3:国家老年疾病临床医学研究中心(湘雅医院)

摘要
目的 探讨鼓室成形术后术耳全频骨导听力下降的可能病因、临床特点及治疗效果。方法 回顾性分析6例鼓室成形术后术耳发生全频骨导听力下降患者的可能病因、临床表现及诊治情况。结果 鼓室成形术中使用的稀释肾上腺素、术中控制性降压、明胶海绵中的环氧乙烷以及术后产生的过量促炎因子可能与术后术耳全频骨导听力下降有关。本组6例患者主要首发症状为头晕,不伴视物旋转,且未观察到眼震;治疗无效2例,有效1例,治愈3例;4例及时用药治疗者中3例治疗有效。结论 鼓室成形术后术耳全频骨导听力下降与多种因素相关,患者常表现为头晕,及时行纯音听阈测试确诊并按突聋治疗方案治疗,常可获得良好预后。
关键词
鼓室成形术;骨导听力;头晕
基金项目(Foundation):
作者
刘衡;梅凌云;贺楚峰;蔡鑫章;吴学文;蒋璐
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