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Superior semicircular canal dehiscence repair with small middle fossa craniotomy using an oto-microscopic and co-endoscopic assisted approach

Published online by Cambridge University Press:  10 January 2022

S Tugrul
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Fatih, Istanbul, Turkey
A Yenigun*
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Fatih, Istanbul, Turkey
Y Kulaksiz
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Fatih, Istanbul, Turkey
R Dogan
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Fatih, Istanbul, Turkey
F Aksoy
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Fatih, Istanbul, Turkey
O Ozturan
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Fatih, Istanbul, Turkey
*
Author for correspondence: Dr Alper Yenigun, Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Adnan Menderes Bulvari, Fatih, Istanbul34093, Turkey E-mail: alperyenigun@gmail.com Fax: +90 (212) 453 18 70

Abstract

Objective

Superior semicircular canal dehiscence is an uncommon neurotological disorder in which the petrous temporal bone overlying the superior semicircular canal lacks bone. Its most common symptoms include amplification of internal sounds, autophony, tinnitus, sound- and pressure-induced vertigo, hyperacusis, oscillopsia, and hearing loss. This video presentation aimed to demonstrate endoscopic-assisted repair of superior semicircular canal dehiscence with middle fossa craniotomy.

Method

Eleven patients with superior semicircular canal dehiscence, verified with temporal computed tomography, were enrolled in the study.

Result

An endoscopy-assisted middle fossa approach was applied to all patients. Superior semicircular canal dehiscence was successfully repaired with an endoscope in 11 patients.

Conclusion

Endoscopic-assisted repair of superior semicircular canal dehiscence may be a superior approach compared with binocular operative microscopy.

Type
Short Communications
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr A Yenigun takes responsibility for the integrity of the content of the paper

References

Ward, BK, Carey, JP, Minor, LB. Superior canal dehiscence syndrome: lessons from the first 20 years. Front Neurol 2017;8:177CrossRefGoogle ScholarPubMed
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
Zuniga, MG, Janky, KL, Nguyen, KD, Welgampola, MS, Carey, JP. Ocular versus cervical VEMPs in the diagnosis of superior semicircular canal dehiscence syndrome. Otol Neurotol 2013;34:121–6CrossRefGoogle Scholar
Sequeira, SM, Whiting, BR, Shimony, JS, Vo, KD, Hullar, TE. Accuracy of computed tomography detection of superior canal dehiscence. Otol Neurotol 2011;32:1500–5CrossRefGoogle ScholarPubMed
Johanis, M, Yang, I, Gopen, Q. Incidence of intraoperative hearing loss during middle cranial fossa approach for repair of superior semicircular canal dehiscence. J Clin Neurosci 2018;54:109–12CrossRefGoogle ScholarPubMed

Tugrul et al. supplementary material

Tugrul et al. supplementary material

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