论文部分内容阅读
患者,男,40岁。住院前一年半开始出现左耳鸣,低调,持续性,继之口角向右歪斜,左眼不能闭合,症状逐渐加重,伴有左耳听力下降,偶有耳内疼痛。检查:全身一般情况良好,左侧周围性面瘫,乳突区无红肿,无压痛,外耳道骨部后壁近鼓环处隆起,触之硬,鼓膜后部看不清。纯音测听左耳传音性聋,气骨导差为20dB(语言频率)。乳突片及CT未见明显骨质破坏。入院诊断:①左外耳道骨瘤?②周围性面神经麻痹。于1988年11月2日在
Patient, male, 40 years old. A year and a half before hospitalization left tinnitus, low profile, continuity, followed by skewed right angle mouth, left eye can not be closed, the symptoms gradually aggravated, accompanied by decreased left ear hearing, ear pain sometimes. Check: The general condition is good, the left side of the facial paralysis, mastoid area without swelling, no tenderness, the posterior wall of the external auditory meatus bulging at the drum ring, touching the hard, the posterior of the tympanic membrane can not see clearly. Pure tone audiometry left ear acoustic deafness, air conduction difference of 20dB (language frequency). Mastoid and CT showed no obvious bone destruction. Admission diagnosis: ① left external auditory canal osteoma? ② peripheral facial paralysis. On November 2, 1988 at