Round and oval window reinforcement for the treatment of hyperacusis

Silverstein, Herbert; Wu, Yi-Hsuan Emmy; Hagan, Suzannah

doi:10.1016/j.amjoto.2014.10.014

Cited by 18 publications

(30 citation statements)

References 22 publications

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“…In the series by Silverstein et al, hearing loss was the only subjective survey measure that did not improve after round window reinforcement (106), others have reported a conductive hearing loss (105), and additional series of patients undergoing round window reinforcement by some of the authors have shown a mild hearing loss with this surgery in the non-dehiscent ear (110, 111). Among patients who have had this procedure performed elsewhere, we have observed that if successful, round window reinforcement has provided only temporary relief for SCDS and that some have reported hearing loss and new tinnitus.…”

Section: Treatmentmentioning

confidence: 99%

Superior Canal Dehiscence Syndrome: Lessons from the First 20 Years

2017

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Superior semicircular canal dehiscence syndrome was first reported by Lloyd Minor and colleagues in 1998. Patients with a dehiscence in the bone overlying the superior semicircular canal experience symptoms of pressure or sound-induced vertigo, bone conduction hyperacusis, and pulsatile tinnitus. The initial series of patients were diagnosed based on common symptoms, a physical examination finding of eye movements in the plane of the superior semicircular canal when ear canal pressure or loud tones were applied to the ear, and high-resolution computed tomography imaging demonstrating a dehiscence in the bone over the superior semicircular canal. Research productivity directed at understanding better methods for diagnosing and treating this condition has substantially increased over the last two decades. We now have a sound understanding of the pathophysiology of third mobile window syndromes, higher resolution imaging protocols, and several sensitive and specific diagnostic tests. Furthermore, we have a treatment (surgical occlusion of the superior semicircular canal) that has demonstrated efficacy. This review will highlight some of the fundamental insights gained in SCDS, propose diagnostic criteria, and discuss future research directions.

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Section: Treatmentmentioning

confidence: 99%

Superior Canal Dehiscence Syndrome: Lessons from the First 20 Years

2017

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“…Procedures that decreased the mobility of the round window were historically noted to be effective in treating symptoms associated with a spontaneous perilymphatic fistula (sPLF) in patients where a fistula could not be found during middle ear exploration . These procedures fell out of favor as the diagnosis of sPLF came into question .…”

Section: Introductionmentioning

confidence: 99%

Round window plugging in the treatment of superior semicircular canal dehiscence

et al. 2017

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“…Some surgeons reinforce both the oval and round window, whereas others only reinforce the round window. Reinforcement of the round window and oval window has also been described as a successful treatment for subjects with hyperacusis without evidence of SSCD (13).…”

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confidence: 99%