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Jugular bulb diverticulum dehiscence towards the vestibular aqueduct in a patient with otosclerosis

  • V Van Rompaey (a1), E Offeciers (a1), B De Foer (a2) and T Somers (a1)

Abstract

Objectives:

To demonstrate the need for computed tomography imaging of the temporal bone before considering revision stapes surgery in patients with recurrent or residual conductive hearing loss.

Case report:

We report the case of a high-riding jugular bulb with an associated jugular bulb diverticulum, which was dehiscent towards the vestibular aqueduct, in a patient with confirmed otosclerosis who did not experience hearing improvement after stapedotomy.

Conclusion:

This case demonstrates the usefulness of temporal bone computed tomography in the evaluation of patients with otosclerosis in whom stapedotomy has not improved hearing. In such patients, revision surgery to address residual hearing loss would eventually prove unnecessary and avoidable.

Copyright

Corresponding author

Address for correspondence: Dr T Somers, University Department of Otorhinolaryngology and Head and Neck Surgery, Sint Augustinus Hospital, Oosterveldlaan 24, 2610 Wilrijk, Antwerp, Belgium Fax: + 32 3 443 36 11 E-mail: Thomas.somers@gza.be

References

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1Lippy, WH, Battista, RA, Berenholz, L, Schuring, AG, Burkey, JM. Twenty-year review of revision stapedectomy. Otol Neurotol 2003;24:560–6
2Vincent, R, Rovers, M, Zingade, N, Oates, J, Sperling, N, Deveze, A et al. Revision stapedotomy: operative findings and hearing results. A prospective study of 652 cases from the Otology-Neurotology Database. Otol Neurotol 2010;31:875–82
3Somers, T, Govaerts, P, de Varebeke, SJ, Offeciers, E. Revision stapes surgery. J Laryngol Otol 1997;111:233–9
4Merchant, SN, Rosowski, JJ, McKenna, MJ. Superior semicircular canal dehiscence mimicking otosclerotic hearing loss. Adv Otorhinolaryngol 2007;65:137–45
5Vanspauwen, R, Wuyts, FL, Van de Heyning, PH. Improving vestibular evoked myogenic potential reliability by using a blood pressure manometer. Laryngoscope 2006;116:131–5
6Van Rompaey, V, Potvin, J, van den Hauwe, L, Van de Heyning, P. Third mobile window associated with suspected otosclerotic foci in two patients with an air-bone gap. J Laryngol Otol 2011;125:8992
7Friedmann, DR, Le, BT, Pramanik, BK, Lalwani, AK. Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope 2010;120:365–72

Keywords

Jugular bulb diverticulum dehiscence towards the vestibular aqueduct in a patient with otosclerosis

  • V Van Rompaey (a1), E Offeciers (a1), B De Foer (a2) and T Somers (a1)

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