Pneumolabyrinth and Recurrent Paroxysmal Positional Vertigo After Traumatic Stapes Fracture

Comacchio, Francesco; Guidetti, G; Guidetti, Riccardo; Mion, Marta

doi:10.1177/0003489418819553

Cited by 9 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, patients with grade III pneumolabyrinth experienced postoperative tinnitus at significantly higher rates than patients with grade I and II pneumolabyrinth. Hearing loss and tinnitus are known symptoms of pneumolabyrinth 10‐13 . Our finding adds to this knowledge, suggesting that larger air bubbles in the labyrinth can exacerbate patients’ experiences with hearing loss and tinnitus.…”

Section: Discussionsupporting

confidence: 55%

See 1 more Smart Citation

Postoperative Pneumolabyrinth Following the Middle Cranial Fossa Approach for Superior Semicircular Canal Dehiscence Repair, 2014‐2020

Yang

Lum

Kaur

et al. 2022

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective The present study investigates risk factors and clinical outcomes of postoperative pneumolabyrinth following the middle cranial fossa approach for superior semicircular canal dehiscence repair, a complication that has not been documented previously. Study Design Retrospective cohort study. Setting Tertiary/quaternary care referral center. Methods We conducted a retrospective review of 332 middle cranial fossa procedures from 2014 to 2020 at a tertiary/quaternary care institution. Upon identifying pneumolabyrinth cases from postoperative computed tomography temporal bone scans, we conducted multivariable logistic regression analysis to explore demographic and clinical factors that were independently linked to this complication. We also compared the rates of postoperative symptoms among patients with different grades of pneumolabyrinth. Results We identified 41 (12.3%) pneumolabyrinth cases. Patients with older age, higher preoperative pure tone average, and frank dehiscence were at higher risk for pneumolabyrinth. Furthermore, patients with pneumolabyrinth reported significantly higher rates of postoperative dizziness and exhibited significantly greater pure tone average and air-bone gap postoperatively as compared with patients without pneumolabyrinth. Finally, higher-grade pneumolabyrinth was associated with increased rates of postoperative hearing loss, and grade III pneumolabyrinth was associated with higher rates of postoperative tinnitus vs grade I and II cases. Conclusion Pneumolabyrinth following the middle cranial fossa approach was associated with poor clinical outcomes, including dizziness and auditory impairment. Old age, high preoperative pure tone average, and frank dehiscence were risk factors for this complication. The highlighted parameters may be important to note when considering this approach as a treatment option and while monitoring postoperative recovery.

show abstract

Section: Discussionsupporting

confidence: 55%

“…Since pneumolabyrinth is an uncommon condition that is often preceded by trauma, instances of post‐MCF pneumolabyrinth have not been documented in the literature 11‐14 . In this study, we fill this paucity of literature with a retrospective review of MCF surgery conducted at our institution over the past seven years.…”

mentioning

confidence: 99%

Postoperative Pneumolabyrinth Following the Middle Cranial Fossa Approach for Superior Semicircular Canal Dehiscence Repair, 2014‐2020

Yang

Lum

Kaur

et al. 2022

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…We present the cases of two patients with rare TPF caused by earpick injury who achieved a satisfactory outcome in hearing and vestibular symptoms following surgical restoration. Literature related to penetrating injury-induced TPF confirmed by surgery was reviewed (Table 1) [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. All patients with penetrating trauma-induced TPF suffered from vestibular and cochlear symptoms, including conductive, sensorineural, or mixed hearing loss.…”

Section: Discussionmentioning

confidence: 99%

Penetrating Trauma-Induced Perilymphatic Fistula: A Case Report and Literature Review

Nakajima¹,

Motegi²,

Yamämoto³

2023

Cureus

View full text Add to dashboard Cite

This article highlights the importance of early identification and surgical treatment for extremely rare traumatic perilymphatic fistula (TPF) caused by an earpick, which can pose the risk of irreversible hearing loss. Herein, we have described two cases of TPF and reviewed the literature primarily based on surgical treatment for penetrating ear trauma-induced TPF.We highlight the case of two females who sustained an accidental penetrating injury in the ear caused by the introduction of an earpick, leading to hearing loss and dizziness. Pure tone audiometry detected elevation of the bone-conduction thresholds. Computed tomography of Labyrinth revealed pneumolabyrinth in one case. Both patients underwent exploratory surgery, we completely repositioned the stapes that had invaginated into the vestibule in one case, in the other case, we reconnected the disarticulated incudostapedial joint and sealed perilymph fistula caused by rupture of the oval window. Both patients achieved hearing improvement and complete relief from the vestibular symptoms.The literature review indicated that a scar on the posterior aspect of the tympanic membrane was found in 44.4% of cases. Hearing improvement was observed in 45.5% and 25.0% of cases with invagination of stapes and fractured footplates by fistula repair, respectively. In terms of handling stapes dislocation, the hearing improvement rate was better in cases of complete stapes repositioning (66.7%) than those of complete or partial stapes removal (16.7%). Preoperative mild bone-conduction hearing loss or localized pneumolabyrinth are favorable factors for satisfactory hearing. When surgery is performed within 11 days of the injury, satisfactory hearing improvement can be expected.

show abstract

“…We present an unusual case of displaced stapes in the vestibule, which induced vertigo and significant hearing loss. Several papers reported vertigo related to the damage to the stapediovestibular junction [2,3]. Traumatic injury on the ossicular chain or prosthesis displaced into the vestibule manifests as positional vertigo and hearing loss [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

Minimal invasive surgery can cause devastating complications

Jiang

2022

Preprint

View full text Add to dashboard Cite

To perform surgery with a minimally invasive procedure is preferred during daily practices. With the endoscope development in otology, a direct view of ossicles or lesions in the tympanic cavity without disturbing the mastoid becomes possible. Accompanied by a growing number of endoscopic surgeries, the complications were more commonly seen due to certain drawbacks, like single-hand practices and loss of three-dimensional images[1]. Rarely, to our knowledge, dislocated stapes protrudes into the vestibule cavity during endoscopic surgery, which results in profound hearing loss and vertigo.

show abstract

Pneumolabyrinth and Recurrent Paroxysmal Positional Vertigo After Traumatic Stapes Fracture

Cited by 9 publications

References 17 publications

Postoperative Pneumolabyrinth Following the Middle Cranial Fossa Approach for Superior Semicircular Canal Dehiscence Repair, 2014‐2020

Postoperative Pneumolabyrinth Following the Middle Cranial Fossa Approach for Superior Semicircular Canal Dehiscence Repair, 2014‐2020

Penetrating Trauma-Induced Perilymphatic Fistula: A Case Report and Literature Review

Minimal invasive surgery can cause devastating complications

Contact Info

Product

Resources

About