PDF(Pubmed)
Abstract：
OBJECTIVE: The diagnosis and management of Superior Canal Dehiscence Syndrome (SCDS) with concomitant otosclerosis can be a challenge. Otosclerosis can mask SCDS symptoms and stapes surgery may reveal or exacerbate vestibular symptoms. Our aim is to present four cases of SCDS with concomitant otosclerosis and thereby informing the reader about the possibility of this dual occurrence and its implications for treatment.
METHODS: Four patients with SCDS and concomitant otosclerosis are presented. Two patients underwent surgical treatment for both SCDS and otosclerosis and two patients opted for conservative management.
RESULTS: The main differences between surgically and non-surgically treated cases are the presence of autophony and pressure-induced vertigo and a more severe experience of symptoms in surgically treated cases. Surgically treated cases achieved a sizeable reduction in postoperative air-bone gap and resolution of vestibular symptoms.
CONCLUSIONS: The subjective severity of symptoms in combination with shared decision-making is key in determining the appropriate treatment plan for SCDS and concomitant otosclerosis.
METHODS: Four patients with SCDS and concomitant otosclerosis are presented. Two patients underwent surgical treatment for both SCDS and otosclerosis and two patients opted for conservative management.
RESULTS: The main differences between surgically and non-surgically treated cases are the presence of autophony and pressure-induced vertigo and a more severe experience of symptoms in surgically treated cases. Surgically treated cases achieved a sizeable reduction in postoperative air-bone gap and resolution of vestibular symptoms.
CONCLUSIONS: The subjective severity of symptoms in combination with shared decision-making is key in determining the appropriate treatment plan for SCDS and concomitant otosclerosis.
摘要：
目的：伴发耳硬化的上运河裂开综合征（SCDS）的诊断和治疗可能是一个挑战。耳硬化症可以掩盖SCDS症状，而stapes骨手术可能会显示或加剧前庭症状。我们的目的是介绍四例伴有耳硬化症的SCDS病例，从而向读者介绍这种双重发生的可能性及其对治疗的影响。
方法：介绍了4例SCDS并伴有耳硬化症的患者。两名患者接受了SCDS和耳硬化症的手术治疗，两名患者选择了保守治疗。
结果：手术和非手术治疗的病例之间的主要区别是存在尸检和压力诱发的眩晕，以及在手术治疗的病例中更严重的症状体验。经手术治疗的病例在术后气-骨间隙和前庭症状的缓解方面实现了大幅减少。
结论：症状的主观严重程度与共同决策相结合是确定SCDS和并发耳硬化的适当治疗计划的关键。
方法：介绍了4例SCDS并伴有耳硬化症的患者。两名患者接受了SCDS和耳硬化症的手术治疗，两名患者选择了保守治疗。
结果：手术和非手术治疗的病例之间的主要区别是存在尸检和压力诱发的眩晕，以及在手术治疗的病例中更严重的症状体验。经手术治疗的病例在术后气-骨间隙和前庭症状的缓解方面实现了大幅减少。
结论：症状的主观严重程度与共同决策相结合是确定SCDS和并发耳硬化的适当治疗计划的关键。
