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.
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。