Kochleární a vestibulární aparát člověka - fyziologické a patofyziologické mechanismy podmiňující diagnostický a léčebný postup

• Main Author: Holý, Richard
• Other Authors: Hahn, Aleš
• Format: Doctoral Thesis
• Language: Czech
• Published: 2014
• Online Access: http://www.nusl.cz/ntk/nusl-450997

The issue of the cochleovestibular disorders is part of otoneurology. The scope of the etiopathogenesis of these lesions is wide. The examination of an otoneurological profile using the cochleovestibular diagnostic tests and imaging techniques can distinguish an organic lesion - mostly a vestibular schwannoma - from idiopathic lesions. The treatment of idiopathic and organic lesions is vastly different. The return to the original state takes precedence in the treatment of idiopathic sensorineural hearing impairment. Hyperbaric oxygen therapy plays an important role. This, however, is not the case with a vestibular schwannoma. The removal of a tumor or its radiosurgical treatment to stop its growth is given priority. Observation of tumor growth is an independent method. Preservation of hearing in the state as before the treatment is considered a success. Revealing the etiology of hearing impairment by means of examining a patient's otoneurological profile determines totally different medical procedures and diverse outcomes of the treatments for idiopathic and organic lesions, and this is what the thesis is focusing on. The introductory chapters give an overview of the current knowledge of the anatomy and physiology of the vestibular apparatus in relation to an otoneurological profile. This is...