Case Report: Positive Pressure Therapy Combined With Endolymphatic sac Surgery in a Patient With Ménière's Disease.
Case Report: Positive Pressure Therapy Combined With Endolymphatic sac Surgery in a Patient With Ménière's Disease.
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DOI：
10.3389/fsurg.2021.606100
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发表时间：
2021
影响因子：
1.8
通讯作者：
Takeda N
中科院分区：
文献类型：
--
作者：
Fukushima M;Akahani S;Inohara H;Takeda N
正压疗法（PPT）用于治疗梅尼埃病（MD）中难治性眩晕；然而，PPT是否影响体内内淋巴积水（EH）仍不清楚。在本病例报告中，我们描述了一名反复观察到 EH 的患者的 5 年 MD 病程。由于患者在内淋巴囊手术后出现反复眩晕发作，因此开始额外使用PPT装置，眩晕发作次数随着EH体积的减少而减少。 PPT的机制被认为是中耳压力增加抑制EH的发展。如果在手术后添加 PPT，与单独手术相比，可能会更有效地减少 EH 体积。需要更大的研究小组规模来测试这些有关 EH 变化的初步数据。
Positive pressure therapy (PPT) is applied for medically-intractable vertigo in Ménière's disease (MD); however, it remains unknown whether PPT affects in vivo endolymphatic hydrops (EH). In this case report, we describe a 5-year course of MD in a patient in which EH was repeatedly observed. As the patient experienced recurrent vertigo attacks after endolymphatic sac surgery, he began to use the PPT device additionally and vertiginous episodes decreased in accordance with a decrease in the EH volume. The mechanism of PPT is suggested that the pressure increase in the middle ear inhibits EH development. PPT, if added after surgery, might be more effective to reduce EH volume compared with surgery alone. A larger study group size is required to test these preliminary data concerning EH changes.
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影响因子：
168.9
作者：
Sajjadi, Hamed;Paparella, Michael M.
通讯作者：
Paparella, Michael M.
影响因子：
3
作者：
Naganawa, Shinji;Yamazaki, Masahiro;Nakashima, Tsutomu
通讯作者：
Nakashima, Tsutomu
影响因子：
1.9
作者：
Fukushima M;Kitahara T;Oya R;Akahani S;Inohara H;Naganawa S;Takeda N
通讯作者：
Takeda N
DOI：
10.1159/000276915
发表时间：
1997-03-01
期刊：
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES
影响因子：
--
作者：
Sakikawa, Y;Kimura, RS
通讯作者：
Kimura, RS
影响因子：
2.6
作者：
Kitahara, Tadashi;Kubo, Takeshi;Kitahara, Masaaki
通讯作者：
Kitahara, Masaaki