Background： Superior semicircular canal dehiscence （SSCD） is gradually recognized by otologists in recent years. The patients with SSCD have a syndrome comprising a series of vestibular symptoms and hearing functio...Background： Superior semicircular canal dehiscence （SSCD） is gradually recognized by otologists in recent years. The patients with SSCD have a syndrome comprising a series of vestibular symptoms and hearing function disorders which can be cured by the operation. In this study, we evaluated the characteristics of patients with SSCD and determined the effectiveness of treating this syndrome by resurfacing the canal via the transmastoid approach using a dumpling structure. Methods： Patients with SSCD, confirmed by high-resolution computed tomography and hospitalized at Beijing Tongren Hospital between November 2009 and October 2012, were included in the study. All of the patients underwent the unilateral transmastoid approach for resurfacing the canal, and received regular follow-up after surgery. Data from preoperative medical records and postoperative follow-up were comparatively analyzed to evaluate the effect of surgery. Results： In total, 10 patients and 13 ears （three left ears, four right ears, three bilateral ears） were evaluated in the study, which included 7 men and 3 women. Different symptoms and distinctive manifestations of vestibular evoked myogenic potential were found in these patients. Alter surgery, 4 patients had complete resolution, 5 had partial resolution, and 1 patient, with bilateral SSCD, had aggravation. None of the patients suffered from serious complications such as sensorineural hearing loss, facial paralysis, cerebrospinal fluid leakage, or intracranial hypertension. Conclusions： In patients with unilateral SSCD, resurfacing the canal via the transmastoid approach using a dumpling structure is an effective and sate technique. However, more consideration is needed for patients with bilateral SSCD.展开更多
Symptoms of patulous Eustachian tube(ET),particularly autophony,can overlap with other conditions,and can arise from a variety of causes.We review the pathophysiology of“speech hyper-resonance syndromes”,and possibl...Symptoms of patulous Eustachian tube(ET),particularly autophony,can overlap with other conditions,and can arise from a variety of causes.We review the pathophysiology of“speech hyper-resonance syndromes”,and possible mechanisms,including resonances in the tympanic membrane,Eustachian tube and nasopharynx.Treatment can be directed at the eardrum or the ET depending on site of pathology.We review typical presentations,examination findings,and useful clinical tests to distinguish PET from other disorders,and our philosophy of management.展开更多
基金This work was supported by the grants from the National Science and Technology Pillar Program during the Twelfth Five-year Plan Period of China （No. 2012BA 112B05）, from the National Natural Science Foundation of China （No. 81171311）, from the Beijing Municipal Commission of Education （No. KZ20110025029）, from Capital Medical University of China （No. 13JL03）, and from the Research Special Fund for Public Welfare Industry of Health （No. 201202001）.
文摘Background： Superior semicircular canal dehiscence （SSCD） is gradually recognized by otologists in recent years. The patients with SSCD have a syndrome comprising a series of vestibular symptoms and hearing function disorders which can be cured by the operation. In this study, we evaluated the characteristics of patients with SSCD and determined the effectiveness of treating this syndrome by resurfacing the canal via the transmastoid approach using a dumpling structure. Methods： Patients with SSCD, confirmed by high-resolution computed tomography and hospitalized at Beijing Tongren Hospital between November 2009 and October 2012, were included in the study. All of the patients underwent the unilateral transmastoid approach for resurfacing the canal, and received regular follow-up after surgery. Data from preoperative medical records and postoperative follow-up were comparatively analyzed to evaluate the effect of surgery. Results： In total, 10 patients and 13 ears （three left ears, four right ears, three bilateral ears） were evaluated in the study, which included 7 men and 3 women. Different symptoms and distinctive manifestations of vestibular evoked myogenic potential were found in these patients. Alter surgery, 4 patients had complete resolution, 5 had partial resolution, and 1 patient, with bilateral SSCD, had aggravation. None of the patients suffered from serious complications such as sensorineural hearing loss, facial paralysis, cerebrospinal fluid leakage, or intracranial hypertension. Conclusions： In patients with unilateral SSCD, resurfacing the canal via the transmastoid approach using a dumpling structure is an effective and sate technique. However, more consideration is needed for patients with bilateral SSCD.
文摘Symptoms of patulous Eustachian tube(ET),particularly autophony,can overlap with other conditions,and can arise from a variety of causes.We review the pathophysiology of“speech hyper-resonance syndromes”,and possible mechanisms,including resonances in the tympanic membrane,Eustachian tube and nasopharynx.Treatment can be directed at the eardrum or the ET depending on site of pathology.We review typical presentations,examination findings,and useful clinical tests to distinguish PET from other disorders,and our philosophy of management.
