PDF(Pubmed)
Abstract：
Several surgical techniques have been documented for approaching and repairing superior semicircular canal dehiscence syndrome (SCDS). These techniques encompass the trans-middle cranial fossa, transmastoid, endoscopic approaches, and round window reinforcement (RWR). RWR entails the placement of connective tissue with or without cartilage and around the round window niche, restricting the round window\'s movement to minimize the 3rd window effect and restore the bony labyrinth closer to its normal state. We employed the multilayer RWR technique, resulting in significant postoperative improvement and long-lasting effects for 3.7 years in 2 cases. Here, we present the clinical findings, surgical procedures, and the effectiveness of multilayer RWR. This technique can be the initial choice for surgical treatments of SCDS due to its high effectiveness, longer-lasting effect, and minimal risk of surgical complications.
摘要：
已经记录了几种手术技术来接近和修复上半规管裂开综合征（SCDS）。这些技术包括跨中颅窝，乳突,内窥镜入路,和圆窗加固（RWR）。RWR需要放置有或没有软骨的结缔组织，并围绕圆窗小生境，限制圆窗的移动，以最小化第三窗口效应，并将骨迷宫恢复到更接近其正常状态。我们采用了多层RWR技术，2例患者术后明显改善，效果持续3.7年。这里,我们提出了临床发现，外科手术,和多层RWR的有效性。该技术由于其高效性，可以作为SCDS手术治疗的初始选择，更持久的效果，和最小的手术并发症的风险。
