Cochlear-Facial Dehiscence-A Newly Described Entity

Cochlear-Facial Dehiscence-A Newly Described Entity
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DOI:
10.1002/lary.24223
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发表时间:
2014-01-01
期刊:
影响因子:
2.6
通讯作者:
Jyung, Robert W.
Jyung, Robert W.
中科院分区:
医学2区
文献类型:
--
作者:
Blake, Danielle M.;Tomovic, Senja;Jyung, Robert W.

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耳蜗耳被膜裂开最近被描述为一种病理实体。我们描述了两个耳蜗面裂开的病例,这是第一次报道:一个69岁的男性,主诉听力损失,自鸣音和脉动性耳鸣,以及一名41岁的女性,主诉左侧听力损失,脉动性耳鸣和眩晕。在这两种情况下,计算机断层扫描(CT)显示面神经和耳蜗间的骨裂开。耳蜗面裂开是耳囊裂开的另一个例子,它会产生第三窗口病变的症状。当患者出现第三窗病变症状,且CT未显示上神经管裂开时,应考虑耳蜗面裂开。喉镜,124:283-289,2014
Dehiscence of the cochlear otic capsule has recently been described as a pathologic entity. We describe two cases of cochlear-facial dehiscence, which are the first reported: a 69-year-old male who complained of hearing loss, autophony, and pulsatile tinnitus and a 41-year-old female who complained of left-sided hearing loss, pulsatile tinnitus, and vertigo. In both, computed tomography (CT) showed bony dehiscence between the facial nerve and cochlea. Cochlear-facial dehiscence is another example of otic capsule dehiscence that produces symptoms of third-window lesions. When patients present with symptoms of third-window lesions and CT does not show superior canal dehiscence, cochlear-facial dehiscence should be considered. Laryngoscope, 124:283-289, 2014