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【文摘发布】难治性良性阵发性位置性眩晕的手
Otolaryngology–Head and Neck Surgery (2007) 136, 693-698
Marianne Leveque, MD, Marc Labrousse, MD, Laurent Seidermann, MD,
André Chays, MD
OBJECTIVES: Benign paroxysmal positional vertigo (BPPV) is the most frequent vestibular disorder. Although it is easily cured with canal repositioning maneuvers for the majority of patients, it can be disabling in rare
cases. For these patients, surgical solutions may be proposed. The aim of this article is to review the techniques used, the reported cases in the literature, and to discuss their indication in intractable BPPV.
STUDY DESIGN: Literature review.
MATERIALS AND METHODS: All the articles from 1972 to 2005 that discussed a specific surgical therapy in BPPV were reviewed. Many of them reported cases of operated patients and described original techniques.
Some others are anatomic studies that discussed the two techniques used: singular neurectomy and posterior semicircular canal occlusion.
RESULTS: Singular neurectomy (posterior ampullary nerve transsection) and posterior semicircular canal occlusion are the 2 specific techniques used in intractable BPPV surgery. The numbers of operated cases are 342
and 97, respectively. These small numbers indicate that the procedures are difficult and risk compromising hearing and that a very small population of patients require surgical treatment of BPPV. The operated cases have
been decreasing since the early 1990s because of improved management in BPPV. This article summarizes the techniques and their results and proposes a currently recommended practice of surgical therapy in BPPV as
well as new insights into intractable BPPVs’ physiopathology. 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 难治性良性阵发性位置性眩晕的手术治疗
Otolaryngology–Head and Neck Surgery (2007) 136, 693-698
《耳鼻咽喉头颈外科学杂志》(2007) 136, 693-698
Marianne Leveque, MD, Marc Labrousse, MD, Laurent Seidermann, MD,
André Chays, MD
OBJECTIVES:
目的：
Benign paroxysmal positional vertigo (BPPV) is the most frequent vestibular disorder. Although it is easily cured with canal repositioning maneuvers for the majority of patients, it can be disabling in rare cases.
良性阵发性体位性眩晕是最常见的前庭病症。尽管它在大多数患者采取半规管运动复位法易于治愈，但仍在极少数病例中无效。
For these patients, surgical solutions may be proposed. The aim of this article is to review the techniques used, the reported cases in the literature, and to discuss their indication in intractable BPPV.
对于这些患者，将建议外科治疗。这篇文章的研究目标是回顾分析文献中所报道的病例和所应用的技术，并讨论它们在难治性良性阵发性位置性眩晕中的适应症。
STUDY DESIGN: Literature review.
研究设计：文献回顾
MATERIALS AND METHODS: All the articles from 1972 to 2005 that discussed a specific surgical therapy in BPPV were reviewed. Many of them reported cases of operated patients and described original techniques.
材料和方法：对从1972年到2005年的所有关于良性阵发性体位性眩晕特殊外科治疗的文献均进行回顾性分析。这些文献中大多数是报道手术患者病例和描述创新技术的。
Some others are anatomic studies that discussed the two techniques used: singular neurectomy and posterior semicircular canal occlusion.
其它一些是关于讨论单纯神经切除术和后半规管闭塞术应用的解剖学研究。
RESULTS:
结果：
Singular neurectomy (posterior ampullary nerve transsection) and posterior semicircular canal occlusion are the 2 specific techniques used in intractable BPPV surgery.
单纯神经切除术（后壶腹神经）和后半规管闭塞术是应用于难治性良性阵发性位置性眩晕的两种特殊的手术治疗技术。
The numbers of operated cases are 342 and 97, respectively. These small numbers indicate that the procedures are difficult and risk compromising hearing and that a very small population of patients require surgical treatment of BPPV.
手术病例数分别为342 和 97例。为了尽量保存听力手术中困难很大并且风险也大，这使得手术适应指征非常少。只有极少数的良性阵发性位置性眩晕患者需要进行外科手术治疗。
The operated cases have been decreasing since the early 1990s because of improved management in BPPV.
自从1900年良性阵发性位置性眩晕的治疗得到改进以来，手术病例逐渐下降。
This article summarizes the techniques and their results and proposes a currently recommended practice of surgical therapy in BPPV as well as new insights into intractable BPPVs’ physiopathology.
这篇文章概述了这些手术技术和它们的结果，并提出目前推荐的良性阵发性位置性眩晕的外科治疗，以及对难治性良性阵发性位置性眩晕的生理病理学的新见解。
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作者:admin@医学,生命科学 2011-02-19 05:13
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