耳内镜下颈静脉球源性搏动性耳鸣的治疗
Endoscopic Treatment of Pulsatile Tinnitus Related to High Jugular Bulb
张亚戈 1李硕 1邢培梅 1李谊1
作者信息
- 1. 中国人民解放军联勤保障部队第988医院耳鼻咽喉头颈外科(郑州 450042)
- 折叠
摘要
目的 探讨耳内镜下微创治疗颈静脉球源性搏动性耳鸣的临床效果.方法 回顾性分析2018年1月至2021年1月中国人民解放军联勤保障部队第988医院耳鼻咽喉头颈外科收治的颈静脉球源性搏动性耳鸣患者11例,依据患者不同分型,在耳内镜下经外耳道分别行颈静脉球骨壁加固术、颈静脉球骨壁重建术、颈静脉球憩室回纳术+骨壁重建术.结果 术后,所有患者全身麻醉苏醒后,9例患者耳鸣症状消失,2例患者耳鸣症状减轻,并出现低调嗡嗡样耳鸣声,应用药物治疗后耳鸣症状消失.出院后1个月、2个月、3个月、6个月随访无复发病例.结论 经耳内镜下手术治疗颈静脉源性搏动性耳鸣,效果肯定,损伤小,恢复快,值得临床应用.
Abstract
Objective To report outcomes of minimally invasive endoscopy in the treatment of jugular bulb relat-ed pulsatile tinnitus.Methods Data from cases of jugular vein-derived pulsating tinnitus admitted from January 2018 to January 2021(n=11)were retrospectively analyzed,including clinical symptoms,physical signs,auxiliary tests and post-operative improvements.Based on the particular type of potential etiology,jugular bulb wall reinforcement,jugular bulb wall reconstruction,or jugular bulb diverticulum reduction+reconstruction was performed via an endoscopic transme-atal approach,respectively.Results Upon waking up from anesthesia,tinnitus disappeared in 9 patients,and reduced in 2 patients'with residual low-pitched humming that disappeared with drug treatments.No recurrence was reported at 1,3 and 6 months follow ups.Conclusion Otoscopic surgery is effective in the treatment of jugular spheroid wall defects re-lated pulsating tinnitus with advantages of minimal invasiveness and speedy recovery,and can be a clinically viable treat-ment option.
关键词
颈静脉球憩室/颈静脉球骨壁缺损/颈静脉球骨壁菲薄/耳内镜/全身麻醉Key words
jugular spherical diverticulum/jugular spherical wall defect/thin jugular spherical bone wall/ear oto-scope/general anesthesia引用本文复制引用
基金项目
联勤临床重点学科建设项目经费资助()
河南省医学科技研究重点项目(SBGJ202102207)
出版年
2024
国家科技期刊平台
NSTL
万方数据