Surgery, Complication, Revisions

Gianoli, Gerard J.

doi:10.1007/978-3-031-16586-3_15

Cited by 1 publication

(2 citation statements)

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“…Although we currently have guidelines for the diagnosis of SSCD ( 8 ), there are no published studies on the criteria for selecting a candidate for surgical intervention ( 36 ). Thus, in the case of very symptomatic and disabled patients in everyday life, the expected benefit/risk ratio must be discussed and very well-explained to avoid postoperative disappointments.…”

Section: Discussionmentioning

confidence: 99%

“…Surgeons should be aware that a cause of surgical failure in a patient with SSCD may be the unnoticed presence of another OCD, even of minimal or “atypical” size. Considering the consistently poor postoperative results in this series of patients with multiple OCDs who underwent technically successful surgeries, it is justified to question whether the currently accepted third window techniques and mechanisms for (single) SSCD ( 36 , 37 ) also apply to multiple OCDs. It is reasonable to believe the opposite since in the case of several abnormal areas of low impedance at the level of the otic capsule, the dispersion of acoustic energy would be logically greater and more diffuse than in the case of a “single” TMW.…”

Section: Discussionmentioning

confidence: 99%

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Why should multiple dehiscences of the otic capsule be considered before surgically treating patients with superior semicircular canal dehiscence? A radiological monocentric review and a case series

et al. 2023

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This review aims to draw attention to the multiple ipsilateral otic capsule dehiscences (OCDs), which may cause therapeutic failure in operated patients. A series of six severely disabled patients with symptoms and signs consistent with a superior semicircular canal dehiscence (SSCD) diagnosis, confirmed by a high-resolution CT scan, is presented here. Five of the patients underwent surgery, and in four of the cases, the postoperative results were poor and/or disappointing. The ethical principles underlying modern medicine encourage medical staff to learn from past experience even when the results are modest despite the accuracy of the treatment applied to a patient. Consequently, we reviewed the radiological records of symptomatic and asymptomatic patients diagnosed or referred to our center for confirmation over the past 5 years to determine the incidence of multiple OCD in this population. Multiple localizations of suspected OCD in the ipsilateral ear did not appear to be rare and were found in 29 of 157 patients (18.47%) in our retrospective review using high-resolution thin-sliced CT scans. The decision to perform surgery for a documented symptomatic superior SSCD should be made with caution only after ruling out concomitant lesser-known variants of OCD in the ipsilateral ear.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%