Clinical experience with symptomatic superior canal dehiscence in a single neurotologic practice

Abstract

Not all patients with a diagnosis of superior canal dehiscence syndrome will have classic symptoms and signs. A high index of suspicion with careful clinical examination and properly performed ancillary testing is required to confirm this diagnosis.

Transmastoid semicircular canal occlusion: A safe and highly effective treatment for benign paroxysmal positional vertigo and superior canal dehiscence

“…Since the original description of transmastoid superior canal occlusion for SSCD by Brantberg et al, 5 others have confirmed the success of this approach. [6][7][8][9][10] Of all previously published cases excluding our previous cases, 16 out of 17 patients treated with this approach have had significant or complete resolution of their symptoms. This represents a 94% success rate in the published literature.…”

“…Surgical intervention most commonly involves superior semicircular canal plugging via the middle fossa approach 4. However, the transmastoid approach to canal plugging has been described in small case series 5–10. This approach avoids a craniotomy and is more familiar to the otologist.…”

“…4 However, the transmastoid approach to canal plugging has been described in small case series. [5][6][7][8][9][10] This approach avoids a craniotomy and is more familiar to the otologist. The present study describes our results in patients whose superior semicircular canal was plugged using the transmastoid approach.…”

Transmastoid Middle Fossa Craniotomy Repair of Superior Semicircular Canal Dehiscence Using a Soft Tissue Graft

“…SCD may account for presenting otologic symptoms in up to 0.5% of new patients in neurotologic practices (5). Surgical treatment of these symptoms is reserved for severely affected patients.…”

“…Although pure transmastoid plugging does not violate the tegmen (5,6), any attempt at resurfacing involves an opening to the middle fossa that may be reconstructed. Techniques for the reconstruction of the surgical tegmen defects in reported techniques include no repair (7), cartilage alone (8), bone and dura substitute followed by complete mastoid obliteration (4), and bone pate obliteration of the solid angle only in our series.…”