Hostname: page-component-848d4c4894-8kt4b Total loading time: 0 Render date: 2024-06-23T02:19:55.575Z Has data issue: false hasContentIssue false
  • English
  • Français

How I do it: underwater endoscopic ear surgery for plugging in superior canal dehiscence syndrome

Published online by Cambridge University Press:  23 May 2017

D Yamauchi ,
Y Hara ,
H Hidaka ,
T Kawase  and
Y Katori
D Yamauchi*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
Y Hara
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
H Hidaka
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
T Kawase
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
Y Katori
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
*
Address for correspondence: Dr Daisuke Yamauchi, Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan Fax: +81 22 717 7307 E-mail: dyama@orl.med.tohoku.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Underwater endoscopic ear surgery does not require suction and so protects the inner ear from unexpected aeration that may damage its function in the treatment of labyrinthine fistula. A method of underwater endoscopic ear surgery is proposed for the treatment of superior canal dehiscence.

Methods:

Underwater endoscopic ear surgery was performed for plugging of the superior semicircular canal through the transmastoid approach. Saline solution was infused into the mastoid cavity through an Endo-Scrub Lens Cleaning Sheath. The tip of the inserted endoscope was filled completely with saline water.

Results:

Using this underwater endoscopic view, the canal was clearly dissected to expose the semicircular canal membranous labyrinth and dehiscence area. No particular complication occurred during the surgical procedure.

Conclusion:

The underwater endoscopic ear surgery technique for plugging in superior canal dehiscence secures an excellent visual field and protects the inner ear from unexpected aeration.

Keywords

Otologic Surgical ProceduresSemicircular CanalsEndoscopyPerfusion
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 8 , August 2017 , pp. 745 - 748
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Minor, LB, Solomon, D, Zinreich, JS, Zee, DS. Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 1998;124:249–58CrossRefGoogle ScholarPubMed
2 Shaia, WT, Diaz, RC. Evolution in surgical management of superior canal dehiscence syndrome. Curr Opin Otolaryngol Head Neck Surg 2013;21:497–502 CrossRefGoogle ScholarPubMed
3 Yamauchi, D, Yamazaki, M, Ohta, J, Kadowaki, S, Nomura, K, Hidaka, H et al. Closure technique for labyrinthine fistula by “underwater” endoscopic ear surgery. Laryngoscope 2014;124:2616–18Google Scholar
4 Minor, LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope 2005;115:1717–27CrossRefGoogle ScholarPubMed
5 Kirtane, MV, Sharma, A, Satwalekar, D. Transmastoid repair of superior semicircular canal dehiscence. J Laryngol Otol 2009;123:356–8Google Scholar
6 Beyea, JA, Agrawal, SK, Parnes, LS. Transmastoid semicircular canal occlusion: a safe and highly effective treatment for benign paroxysmal positional vertigo and superior canal dehiscence. Laryngoscope 2012;122:1862–6CrossRefGoogle ScholarPubMed
7 Hahn, Y, Zappia, JJ. Modified resurfacing repair for superior semicircular canal dehiscence. Otolaryngol Head Neck Surg 2010;142:763–4Google Scholar
8 Amoodi, HA, Makki, FM, McNeil, M, Bance, M. Transmastoid resurfacing of superior semicircular canal dehiscence. Laryngoscope 2011;121:1117–23CrossRefGoogle ScholarPubMed
9 Teixido, M, Seymour, PE, Kung, B, Sabra, O. Transmastoid middle fossa craniotomy repair of superior semicircular canal dehiscence using a soft tissue graft. Otol Neurotol 2011;32:877–81CrossRefGoogle ScholarPubMed
10 Carter, MS, Lookabaugh, S, Lee, DJ. Endoscopic-assisted repair of superior canal dehiscence syndrome. Laryngoscope 2014;124:1464–8Google Scholar
11 Silverstein, H, Kartush, JM, Parnes, LS, Poe, DS, Babu, SC, Levenson, MJ et al. Round window reinforcement for superior semicircular canal dehiscence: a retrospective multi-center case series. Am J Otolaryngol 2014;35:286–93CrossRefGoogle ScholarPubMed
12 Kobayashi, T, Sakurada, T, Ohyama, K, Takasaka, M. Inner ear injury caused by air intrusion to the scala vestibuli of the cochlea. Acta Otolaryngol 1993;113:725–30CrossRefGoogle Scholar

Yamauchi supplementary material

Yamauchi supplementary material 1

Download Yamauchi supplementary material(Video)
Video 50.6 MB