分泌性中耳炎合并突发性聋三例并文献复习

doi:10.6040/j.issn.1673-3770.0.2019.147

摘要/Abstract

摘要： 目的

探讨分泌性中耳炎合并突发性聋的临床特点及发病机制，增强对分泌性中耳炎合并突发性聋的认识，提高临床诊断准确性及治疗效果。

方法

总结3例分泌性中耳炎合并突发性聋患者临床资料并结合文献复习，分析该类疾病的临床特征、发病机制以及治疗要点。

结果

3例均诊断为分泌性中耳炎合并突发性聋，2例患者有急性上呼吸道感染史，及时经抗生素、全身或局部糖皮质激素治疗均治愈。

结论

分泌性中耳炎合并突发性聋临床较为少见，内耳损伤可能与中耳炎症经圆窗途径影响内耳相关，发病早期及时治疗可以取得良好的效果。

关键词: 聋，突发性, 分泌性中耳炎, 治疗结局

Abstract: Objective

To analysis and evaluate the clinical features and pathological mechanisms of secretory otitis media combined with sudden hearing loss in order to improve the understanding of this disease and the correct diagnosis and treatment.

Methods

Through analyzing clinical materials of three cases with secretory otitis media combined with sudden hearing loss and reviewing the literatures about this condition to summarize the clinical characteristics, possible pathological mechanisms and the key point of treatments.

Results

Three subjects had the characteristics of secretory otitis media and sudden hearing loss. Two of the three cases had acute respiratory infection. All subjects were cured treated with antibiotics and systemic or topical administration of corticosteroids.

Conclusion

Secretory otitis media combined with sudden hearing loss is a rare condition. The inner ear damage mechanisms of secretory otitis media combined with sudden hearing loss maybe associated with infection of media ear through the round membrane. Early and timely therapy may improve the treatment outcomes for patients with secretory otitis media combined with sudden hearing loss.

Key words: Deafness, sudden, Secretory otitis media, Treatment outcome

中图分类号:

R764.21

曹鑫,伊海金,李欣,许嘉,高娟娟. 分泌性中耳炎合并突发性聋三例并文献复习[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 56-61.

Xin CAO,Haijin YI,Xin LI,Jia XU,Juanjuan GAO. Secretory otitis media with sudden hearing loss: three cases′ report and a literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 56-61.

图/表 6

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