Blockage of longitudinal flow in Meniere's disease: A human temporal bone study

被引:16
作者
Shimizu, Shigetaka [2 ]
Cureoglu, Sebahattin [1 ]
Yoda, Shigetoshi [3 ]
Suzuki, Mamoru [2 ]
Paparella, Michael M. [4 ]
机构
[1] Univ Minnesota, Dept Otolaryngol, Minneapolis, MN 55455 USA
[2] Tokyo Med Univ, Dept Otolaryngol, Tokyo, Japan
[3] Kawasaki Med Sch, Dept Otolaryngol, Kurashiki, Okayama, Japan
[4] Paparella Ear Head & Neck Inst, Minneapolis, MN USA
关键词
Histopathology; endolymphatic hydrops; endolymphatic duct; utriculo-endolymphatic valve; ductus reuniens; fistula; UTRICULO-ENDOLYMPHATIC VALVE; PATHOGENESIS; DUCT;
D O I
10.3109/00016489.2010.532155
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Conclusion: Blockage of the endolymphatic duct is a significant finding in Meniere's disease. The position of the utriculo-endolymphatic valve (UEV) and blockage of the ductus reuniens in the temporal bones were not found to be directly indicative of Meniere's disease. Objective: Comparison of blockage of the longitudinal flow of endolymph between ears affected by Meniere's disease and normal ears. Methods: We examined 21 temporal bones from 13 subjects who had Meniere's disease and 21 normal temporal bones from 12 controls. Results: The endolymphatic duct was blocked in five (23%) ears affected by Meniere's disease (p = 0.016). The utricular duct was blocked in 16 (76%) ears affected by Meniere's disease and 11 (52%) normal ears (p = 0.112). The saccular duct was blocked in 6 (28%) of ears affected by Meniere's disease and 16 (76%) normal ears (p = 0.001). The ductus reuniens was blocked in 10 (47%) ears affected by Meniere's disease and 10 (47%) normal ears (p = 1.000).
引用
收藏
页码:263 / 268
页数:6
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