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目的:介绍1例高位颈静脉球并发传导性聋的临床资料。方法:全身麻醉下行双侧鼓膜置管,扁桃 体切除及腺样体刮除术,置入鼓膜通气管。结果:术后右耳听力气骨导间距离缩小至10dBHL以内,搏动性耳 鸣消失。随访1年,鼓膜通气管位置良好。结论:高位颈静脉球并发传导性聋,主张避免盲目鼓室探查或鼓膜切 开术,不宜盲目鼓膜穿刺;如影像学检查提示鼓室内尚未被全部充满,可谨慎鼓膜造孔置鼓膜通气管以改善听力。
Objective: To introduce the clinical data of 1 case of high jugular bulb with conduction deafness. Methods: Under general anesthesia, bilateral tympanic membrane catheterization, tonsillectomy and adenoid curettage were performed and placed in tympanic membrane ventilation tube. Results: The distance between the right ear and the airbone was reduced to less than 10 dBHL, and the pulsatile tinnitus disappeared. Follow-up 1 year, tympanic membrane ventilation well. Conclusion: High jugular bulb with conduction deafness, advocate avoiding blind tympanometry or tympanotomy, should not blindly tympanic membrane puncture; if the imaging examination indicates that the tympanic cavity has not yet been fully filled, can be careful of tympanic membrane placement of tympanic membrane ventilation tube to improve hearing.