Symposium on endolymphatic hydrops: Meniere's syndrome and otitis media
Symposium on endolymphatic hydrops: Meniere's syndrome and otitis media
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内淋巴积水研讨会：梅尼埃综合征和中耳炎
DOI：
10.1288/00005537-198311000-00005
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
F. Mancini
中科院分区：
文献类型：
--
作者：
G. Spector;M. Paparella;L. C. de Sousa;F. Mancini
本文报告37例梅尼埃综合征的临床研究。梅尼埃综合征可以在慢性中耳炎之后发生，并且在某些情况下与慢性中耳炎同时发生。当儿童时期多年以前发生的中耳炎变得不活跃时，导致梅尼埃综合征在以后的生活中留下后遗症，往往会发生完全的梅尼埃综合征伴眩晕;而当活动性慢性中耳炎伴随梅尼埃综合征时，耳蜗梅尼埃综合征往往占主导地位。内淋巴积水在中耳炎的病理病例和11例人类颞骨病例中有描述，其中在没有可见的中耳炎的情况下有慢性中耳炎的证据。致病因素的讨论包括考虑内淋巴管和囊发育不全引起的内淋巴数量，与儿童期乳突细胞减少和耳乳突炎有关，以及其他内淋巴管畸形，还考虑内淋巴质量，这可能影响内淋巴的产生和吸收。
We here present a clinical study of 37 patients with Meniere's syndrome. Meniere's syndrome can occur subsequent to and in some cases simultaneously with chronic otitis media. When otitis media which has occurred many years earlier in childhood becomes inactive, leading to sequelae of Meniere's later in life, full‐blown Meniere's symptom‐complex with vertigo tends to occur; whereas when active chronic otitis media accompanies Meniere's, cochlear Meniere's syndrome tends to predominate. Endolymphatic hydrops is described in pathological cases of labyrinthitis and in 11 human temporal bone cases where there is evidence of chronic otitis media in the absence of visible labyrinthitis. A discussion of pathogenic factors includes considerations of quantity of endolymph due to hypodevelopment of the endolymphatic duct and sac related to mastoid hypocellularity and otomastoiditis in childhood and to other endolymphatic malabsorptions and also considerations of endolymph quality which can influence endolymph production as well as absorption.