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嗜酸粒细胞性中耳炎患者前庭功能的初步分析 被引量:2
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作者 周月 王鹏军 +4 位作者 王慧 于栋祯 陈正侬 吴雅琴 时海波 《上海交通大学学报(医学版)》 CAS CSCD 北大核心 2021年第7期910-914,共5页
目的·探讨嗜酸粒细胞性中耳炎(eosinophilic otitis media,EOM)对患者前庭功能的影响。方法·收集8例确诊的EOM患者(EOM组)资料,另外纳入年龄、性别、病程匹配的16例慢性化脓性中耳炎(chronic suppurative otitis media,CSOM)... 目的·探讨嗜酸粒细胞性中耳炎(eosinophilic otitis media,EOM)对患者前庭功能的影响。方法·收集8例确诊的EOM患者(EOM组)资料,另外纳入年龄、性别、病程匹配的16例慢性化脓性中耳炎(chronic suppurative otitis media,CSOM)患者(CSOM组)、16例健康志愿者(对照组)进行比较。所有对象均进行纯音测听、声导抗、视频头脉冲试验(video head impulse test,vHIT)、前庭诱发肌源性电位(vestibular evoked myogenic potential,VEMP)、动态姿势描记图(dynamic posturography,DPG)检查,分析组间差异。结果·EOM组与对照组相比,听力损失类型的构成比差异有统计学意义(P=0.000),与CSOM组相比差异无统计学意义(P=0.892)。vHIT中EOM组水平半规管增益值与CSOM组相比差异有统计学意义(P=0.035),与对照组相比差异无统计学意义(P=0.220)。EOM组上、后半规管增益值与CSOM组、对照组相比差异均无统计学意义(P=0.807,P=0.971,P=0.683,P=0.610)。颈源性VEMP(cVEMP)检测与眼源性VEMP(oVEMP)检测中,EOM组的异常率均明显高于对照组(P=0.002,P=0.033);而与CSOM组相比差异均无统计学意义(P=0.631,P=0.352)。在cVEMP波形中,EOM组的P1、N1潜伏期较对照组显著延长(P=0.000,P=0.000),P1-N1振幅较对照组、CSOM组均显著降低(P=0.000,P=0.000)。在oVEMP波形中,EOM组的P1-N1振幅较对照组、CSOM组均显著降低(P=0.005,P=0.003)。DPG检测中,EOM组的总体平衡分(P=0.025)、视觉感觉分(P=0.017)、前庭感觉分(P=0.040)、视觉依赖分(P=0.006)均显著低于对照组;与CSOM组相比,EOM组的总体平衡分显著降低(P=0.024)。结论·与中性粒细胞介导的感染性中耳炎症相比,EOM倾向于导致更为严重的内耳神经毒性。由于前庭功能障碍具有代偿缓解的特性,EOM患者自身可能缺乏相应主诉,系统全面的前庭功能评估有助于揭示功能残障,进而开展针对性的康复治疗。 展开更多
关键词 嗜酸粒细胞性中耳炎 前庭功能损害 内耳毒性
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Cochlear function after selective spiral ganglion cells degeneration induced by ouabain 被引量:4
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作者 WANG Lin-e CAO Ke-li +2 位作者 YIN Shan-kai WANG Zhen chen zheng-nong 《Chinese Medical Journal》 SCIE CAS CSCD 2006年第12期974-979,共6页
Background Ouabain, a cardiac glycoside that specifically binds to Na/K-ATPase and inhibits its activity, was applied to gerbils to develop a method for studying auditory neuropathy. Methods Ouabain was applied to the... Background Ouabain, a cardiac glycoside that specifically binds to Na/K-ATPase and inhibits its activity, was applied to gerbils to develop a method for studying auditory neuropathy. Methods Ouabain was applied to the round window of the cochlea in each gerbil by using a piece of gelfoam with 3 μl or 24 μl (1 mmol/L) ouabain solution. The changes of the threshold of auditory brainstem response, cochlear function round window electrocochleography, as well as the morphological changes of the spiral ganglion cells of the cochlea were observed after application of ouabain for 24 hours or 96 hours. Results In ouabain treated gerbils, auditory brainstem response and compound action potential thresholds showed either elevation or no response at all. However, the thresholds of cochlear microphonic and distortion product otoacoustic emissions were not affected. Degeneration and necrosis of some spiral ganglion cells in ears with applications of ouabain (24 hours, 3 μl, 1 mmol/L; 96 hours, 24 μl, 1 mmol/L ouabain). The number of spiral ganglion cells was decreased (24 hours, 3 μl, 1 mmol/L ouabain) or near to a total loss (96 hours, 24 μl, 1 mmol/L ouabain).Conclusions These results indicate a high degree of independence between the spiral ganglion ceils and the outer hair cell systems in the cochlear transduction mechanism. The method used in this study would provide a valuable tool for studying auditory neuropathy. 展开更多
关键词 OUABAIN spiral ganglion cells GERBILS cochlear action potentials cochlear microphonics
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Cochlear implantation in a patient with bilateral temporal bone fractures resulting from temporomandibular joint surgery 被引量:1
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作者 chen zheng-nong Yin Shan-kai 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第22期4160-4160,共1页
To the editor: Cochlear implantation (CI) has been successfully performed in patienls with severe to profound sensorineural hearing loss (SNHL) worldwide since 1988. CI has been demonstrated to be effective for a... To the editor: Cochlear implantation (CI) has been successfully performed in patienls with severe to profound sensorineural hearing loss (SNHL) worldwide since 1988. CI has been demonstrated to be effective for aural rehabilitation in patients with bilateral temporal bone fractures. The 28-year-old patient was first seen in our clinic in June 2009 coinplaining of bilateral hearing loss, left facial nerve palsy, and cerebrospinal fluid (CSF) leak in his left ear fbflowing temporomandibular .ioint (TMJ) surgery lor ankylosis three months earlier. He was diagnosed as having TMJ ankylosis when he was 6 years old; 展开更多
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