Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2011
Cartilage cap occlusion technique for dehiscent superior semicircular canals.
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Lundy Larry, Zapala David, Moushey Jamie
Аннотация
OBJECTIVE: Assessment of a cartilage cap occlusion of dehiscent superior semicircular canals via a transmastoid and tegmen mini-craniotomy approach surgical technique.
STUDY DESIGN: Retrospective case review.
SETTING: Tertiary referral center.
PATIENTS: Thirty-seven patients over a 2 year time period underwent cartilage cap occlusion of a dehiscent superior semicircular canal.
INTERVENTION: Therapeutic.
MAIN OUTCOME MEASURE: Subjective improvement and/or resolution of dizziness postoperatively.
RESULTS: Of 37 patients, 29 (78%) felt much better and had resolution of their dizziness. Of 37 patients, 5 (14%) felt some definite improvement, although not complete resolution. Two patients (5%) felt their dizziness was neither better nor worse, and 1 patient (3%) felt dizziness was worse after surgery.
CONCLUSION: The cartilage cap occlusion technique of dehiscent superior semicircular canals via a transmastoid and tegmen mini-craniotomy approach is a good option for managing symptomatic patients with a dehiscent superior semicircular canal.
STUDY DESIGN: Retrospective case review.
SETTING: Tertiary referral center.
PATIENTS: Thirty-seven patients over a 2 year time period underwent cartilage cap occlusion of a dehiscent superior semicircular canal.
INTERVENTION: Therapeutic.
MAIN OUTCOME MEASURE: Subjective improvement and/or resolution of dizziness postoperatively.
RESULTS: Of 37 patients, 29 (78%) felt much better and had resolution of their dizziness. Of 37 patients, 5 (14%) felt some definite improvement, although not complete resolution. Two patients (5%) felt their dizziness was neither better nor worse, and 1 patient (3%) felt dizziness was worse after surgery.
CONCLUSION: The cartilage cap occlusion technique of dehiscent superior semicircular canals via a transmastoid and tegmen mini-craniotomy approach is a good option for managing symptomatic patients with a dehiscent superior semicircular canal.