دورية أكاديمية
Labyrinthine concussion: Historic otopathologic antecedents of a challenging diagnosis
| العنوان: | Labyrinthine concussion: Historic otopathologic antecedents of a challenging diagnosis |
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| المؤلفون: | Ryan A. Bartholomew, Rory J. Lubner, Renata M. Knoll, Iman Ghanad, David Jung, Joseph B. Nadol Jr, Victor E. Alvarez, Aaron Remenschneider, Elliott D. Kozin |
| المصدر: | Laryngoscope Investigative Otolaryngology, Vol 5, Iss 2, Pp 267-277 (2020) |
| بيانات النشر: | Wiley, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Otorhinolaryngology LCC:Surgery |
| مصطلحات موضوعية: | chronic traumatic encephalopathy, dementia pugilistica, head injury, hearing loss, history of otology, inner ear concussion, Otorhinolaryngology, RF1-547, Surgery, RD1-811 |
| الوصف: | Abstract Objective The term “labyrinthine concussion” has evolved to mean audiovestibular dysfunction in the absence of a temporal bone fracture (TBF). Despite a multitude of case descriptions of labyrinthine concussion, the precise pathophysiology remains poorly understood. Herein, we explore the historical otopathologic underpinnings of the diagnosis of labyrinthine concussion with a focus on the auditory pathway during the late 19th to the mid‐20th centuries and conclude with a discussion of its contemporary relevance. Methods and Data Sources A review of primary and secondary medical sources written in English, German, and French on otopathology labyrinthine concussion studies from the late‐19th to the mid‐20th centuries. Results Around the turn of the 20th century, otopathologists identified histologic changes in the temporal bones of individuals that sustained head injury without TBFs. Based on these otopathologic findings in humans, early experiments investigating the pathophysiology of labyrinthine concussion were performed in animals through either the delivery of blows to the head or direct introduction of a pressure wave into the labyrinthine fluid. Collectively, otopathologists hypothesized that predominant mechanisms for labyrinthine concussion included inner ear hemorrhage, cochleovestibular nerve traction injury, direct damage from a labyrinthine fluid pressure wave, or vasomotor dysfunction. Conclusion Historical study shows a variety of inner ear pathologies potentially responsible for auditory dysfunction following head injury. Understanding the history and otopathology of labyrinthine concussion may help clinicians focus on new pathways toward novel research and improved patient care. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2378-8038 |
| Relation: | https://doaj.org/toc/2378-8038 |
| DOI: | 10.1002/lio2.360 |
| URL الوصول: | https://doaj.org/article/96936551c17f4412813f4a70e2a4b2ad |
| رقم الأكسشن: | edsdoj.96936551c17f4412813f4a70e2a4b2ad |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23788038 |
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| DOI: | 10.1002/lio2.360 |