Syndrom des dehiszenten superioren Bogengangs

Rohrmeier, Christian; Hilber, Hermann; Strutz, Jürgen

doi:10.1007/s00106-010-2163-1

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…Therefore, the least traumatic approach in canal occlusion or revision surgery should be chosen [24][25][26]. Furthermore, patients gain a benefit from the auditory rehabilitation of the hearing loss with a cochlear implant.…”

Section: Discussionmentioning

confidence: 99%

Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series

Jacob,

Lauer,

Ernst

et al. 2023

JCM

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The surgical options for patients with single-sided Menière’s disease and functional deafness are challenging. Our case series reports the outcomes of surgical treatments of patients with single-sided Menière’s disease and functional deafness. These patients have undergone a one-staged occlusion of all semi-circular canals and cochlear implantation. Five patients (four female and one male; 62 ± 8.2 years with a range from 50 to 72 years) with single-sided Menière’s disease and functional deafness were included in this study. In all cases, the patients suffered from frequent rotational vertigo episodes for many years. Other treatment options (e.g., medication) had not yet been successful. Preoperatively, the Dizziness Handicap Inventory (DHI) of all patients indicated severe emotional, physical, and functional deficits. Patients showed a functional (near-total) deafness of the affected ear in all cases. All patients were supplied with cochlear implants in combination with a triple occlusion of all semi-circular canals in a one-stage procedure. After a short period of increased dizziness following surgery and after the activation of the cochlear implant and CI rehabilitation (auditory-verbal therapy), vertigo control and an adequate audiological outcome were achieved. The DHI showed a constant decrease after surgery. The combination of a triple semi-circular canal occlusion and cochlear implantation can be an efficient treatment for patients with single-sided Menière’s disease.

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Section: Discussionmentioning

confidence: 99%

Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series

Jacob,

Lauer,

Ernst

et al. 2023

JCM

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“…15% der Patienten eine tonaudiometrische Schallleitungskomponente in den tiefen Frequenzen [60,61]. Dieses Phänomen -auch als kochleäre Schallleitungsschwerhörigkeit bezeichnet -wird vermutlich durch einen erhöhten intralabyrinthären Druck hervorgerufen und sollte bei der differenzial diagnostischen Abgrenzung von der Otosklerose oder dem Bogengangdehiszenzsyndrom [62] bedacht werden.…”

Section: Kopfimpulstest (Kit) ▼unclassified

Morbus Menière

Plontke¹,

Gürkov²

2015

Laryngo-Rhino-Otol

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Menière`s disease is one of the most common inner ear and vestibular disorders. It is defined as the idiopathic syndrome of endolymphatic hydrops (ELH). Despite the development of several different animal models of ELH, its etiology and pathogenesis is still unresolved. In humans, endolymphatic hydrops may occur spontaneously or as a consequence of specific disorders with distinct inner ear pathologies, e. g., infectious labyrinthitis, noise induced hearing loss or vestibular schwannoma. Recent imaging studies using MRI have shown that hydropic ear disease is associated not only with the full triad of vertigo, hearing, loss and tinnitus/aural pressure, but also with inner ear symptoms that do not fulfill the clinical criteria of definite Menière's disease as set forth by the AAO-HNS. Therefore, terms like "atypical" or "cochlear"/"vestibular" Menière's disease or "forme fruste" should be avoided and the term "Menière's disease" should universally be applied according only to these guidelines. Besides that, the recent possibility of visualizing endolymphatic hydrops on MRI and thereby ascertaining the diagnosis in difficult cases and new audiovestibular function tests for the indirect detection of endolymphatic hydrops show promising results. Evidenced based reviews of currently available therapeutic options still reveal many uncertainties with regard to efficacy, with the exception of the ablative therapies, e. g., intratympanic gentamicin application.

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“…It can cause a variety of audiological and vestibular symptoms, including hearing loss, autophony, pulsatile tinnitus, vertigo and hyperacusis [ 2 – 4 ]. Possible clinical signs include Tullio’s sign and Hennebert’s sign, which describe the occurrence of vertigo or nystagmus after exposure to loud sounds or pressure, respectively [ 2 , 3 , 5 – 7 ]. The superior semicircular canal dehiscence (SCD) is detected using a high-resolution (HR) CT-scan of the mastoid, with reconstructions in the Pöschl plane [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical decision-making in superior canal dehiscence syndrome with concomitant otosclerosis

Van Dijk,

Peters,

Stokroos

et al. 2024

Eur Arch Otorhinolaryngol

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Objective The diagnosis and management of Superior Canal Dehiscence Syndrome (SCDS) with concomitant otosclerosis can be a challenge. Otosclerosis can mask SCDS symptoms and stapes surgery may reveal or exacerbate vestibular symptoms. Our aim is to present four cases of SCDS with concomitant otosclerosis and thereby informing the reader about the possibility of this dual occurrence and its implications for treatment. Cases Four patients with SCDS and concomitant otosclerosis are presented. Two patients underwent surgical treatment for both SCDS and otosclerosis and two patients opted for conservative management. Outcomes The main differences between surgically and non-surgically treated cases are the presence of autophony and pressure-induced vertigo and a more severe experience of symptoms in surgically treated cases. Surgically treated cases achieved a sizeable reduction in postoperative air–bone gap and resolution of vestibular symptoms. Conclusion The subjective severity of symptoms in combination with shared decision-making is key in determining the appropriate treatment plan for SCDS and concomitant otosclerosis.

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Syndrom des dehiszenten superioren Bogengangs

Cited by 5 publications

References 10 publications

Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series

Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series

Morbus Menière

Surgical decision-making in superior canal dehiscence syndrome with concomitant otosclerosis

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