Pneumolabyrinth after intratympanic steroid injection in patient with prosthesis of the stapes: A case report

Covelli, Edoardo; Attanasio, Giuseppe; Cagnoni, Laura; Viccaro, Marika; Filipo, Roberto

doi:10.1016/j.amjoto.2013.06.002

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…Twenty-seven cases of pneumolabyrinth were published in the literature [5][6][7][8] and the most common causes were traumatic injury followed by poststapedectomy cases. Pneumolabyrinth within the first week after stapes surgery is not considered as a complication [7].…”

Section: Discussionmentioning

confidence: 99%

Late pneumolabyrinth after stapedectomy

Ziade

Barake

Natout

et al. 2016

European Annals of Otorhinolaryngology, Head and Neck Diseases

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Section: Discussionmentioning

confidence: 99%

Late pneumolabyrinth after stapedectomy

Ziade

Barake

Natout

et al. 2016

European Annals of Otorhinolaryngology, Head and Neck Diseases

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“…Pneumolabyrinth has been reported following intratympanic steroid injection; however, none of our participants experience such complication. 25 Meanwhile, the comparative effectiveness and safety of dexamethasone topical and injection into the fenestra administration have not been studied.…”

Section: Discussionmentioning

confidence: 99%

Post‐stapedotomy dizziness after applying topical steroid on footplate: A randomized controlled trial

Barati,

Shahzamani,

Tabrizi

et al. 2024

Laryngoscope Investig Oto

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BackgroundOtosclerosis is characterized by abnormal bone growth in the otie capsule. Nowadays, stapedotomy is commonly used for otosclerosis treatment. Currently, postoperative dizziness has been associated with stapedotomy. In 1981, intratympanic dexamethasone was utilized to manage inner ear disorders like tinnitus and acute sensorineural hearing loss. However, there is much uncertainty regarding the effect and safety of topical steroid therapy in the middle ear during stapedotomy. In the present study, we assessed the effect of topical steroid therapy during stapedotomy on postoperative dizziness.MethodsOtosclerosis patients eligible for stapedotomy were randomly divided into two groups based on dexamethasone administration or placebo. Audiometric and tympanometry results were observed and recorded for the involved frequencies. The Dizziness Handicap Inventory was used to quantify patient perceptions of dizziness and balance issues. Audiometry and dizziness assessments were repeated at discharge and 4 months after the operation.ResultsThe study comprised 72 otosclerosis patients undergoing stapedotomy. At discharge, the intervention group showed a significant reduction in the incidence of dizziness compared to the placebo group. However, in the 4‐month follow‐up after the operation, both groups experienced a decrease in dizziness incidence, with no significant difference between them. There was also no significant difference in audiometric levels between the two groups. Interestingly, the intervention group had a significantly lower need for systemic anti‐dizziness drugs after surgery compared to the control group.ConclusionTopical dexamethasone during stapedotomy effectively minimizes dizziness at discharge and reduces the need for postoperative anti‐dizziness medication.Level of evidence2.

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“…In patients, who experience rapid hearing loss and vestibular symptoms in the short-term postoperative period (from a few days to three months) after stapes surgery, the treatment strategy (conservative therapy vs. revision tympanotomy with mandatory elimination of the cause) is selected based on the diagnosed type and nature of injury [8]. In cases when pneumolabirynth occurs as a delayed complication of stapedoplasty (within months or even years after surgery), the decision on treatment strategy is less certain [9,10]. In the reported cases of the stapes surgery postoperative complications, revision tympanotomy was mostly used that involved sealing the defects with autogenous tissue grafts: perichondrium of auricular autocartilage (as in cases presented in our article); ear lobe fat graft; temporal fascia graft [11].…”

Section: Clinical Case Discussionmentioning

confidence: 99%

Pneumolabyrinth as a postoperative complication of stapedoplasty

Диаб

Daykhes

Pashchinina

et al. 2022

MES

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Pneumolabyrinth is characterized by the presence of air in the inner ear due to intrusion from the tympanic cavity. It is a rare complication of stapedoplasty. Currently, there is no clear algorithm for treatment of this complication. The paper reports two cases of pneumolabyrinth being the short-term and long-term postoperative complications. In the first case, the patient, who had undergone stapedoplasty in the left ear, suddenly developed rapid hearing loss and tinnitus in the left ear with dizziness three weeks after physical activity. Physical examination revealed no evidence of the tympanic membrane defect. Audiometry revealed left-sided IV degree of sensorineural hearing loss. Pneumolabyrinth was detected on the temporal bone CT scans. In the second case, vestibulocochlear symptoms developed three days after stapedoplasty in the right ear. Pure tone audiometry revealed right-sided IV degree of mixed hearing loss. CT scan of the temporal bone confirmed the diagnosis of pneumolabyrinth. In both cases the correct position of the stapedial prosthesis, "empty" vestibule and perilymphatic fistula were found during revision tympanotomy. The prosteses were removed during surgery, Dexamethasone solution was introduced into the vestibule; stapedoplasty with autocartilage on the perichondrium was performed. After surgery, vestibular symptoms disappeared, and hearing improved.

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Pneumolabyrinth after intratympanic steroid injection in patient with prosthesis of the stapes: A case report

Cited by 9 publications

References 9 publications

Late pneumolabyrinth after stapedectomy

Late pneumolabyrinth after stapedectomy

Post‐stapedotomy dizziness after applying topical steroid on footplate: A randomized controlled trial

Pneumolabyrinth as a postoperative complication of stapedoplasty

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