書誌事項
- タイトル別名
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- Perilymphatic fistura due to diving ten years after facial nerve decompression -A case report
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We report here a rare case of perilymphatic fistula which developed ten years after surgical facial nerve decompression. A 39-year-old man visited our hospital complaining of sudden loss of hearing in his right ear immediately after scuba diving. He had undergone conservative treatment for this at another hospital, but his hearing worsened. He had suffered right temporal bone fracture with facial paralysis in a traffic accident ten years previously, and had undergone surgical facial nerve decompression. Exploratory tympanotomy was performed for diagnosis and treatment. The horizontal portion of the facial canal was exposed and hung to a pronounced extent over the superstructure of the stapes, and the footplate and major part of the superstructure of the stapes were hidden. No leakage of perilymph was noted around the stapes and round window niche. The oval window was sealed blindly with temporal fascia and fibrin glue. The round window niche was also sealed in the same fashion. Hearing in the right ear improved postoperatively, and perilymphatic fistula was diagnosed based on the clinical course. The pathogenesis of perilymphatic fistula in this case and the problems associated with surgical treatment following facial nerve decompression are discussed.
収録刊行物
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- 頭頸部外科
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頭頸部外科 17 (1), 79-83, 2007
特定非営利活動法人 日本頭頸部外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680257960192
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- NII論文ID
- 10025711796
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- NII書誌ID
- AN10374707
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- ISSN
- 1884474X
- 1349581X
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- 抄録ライセンスフラグ
- 使用不可