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

  • D Yamauchi (a1), Y Hara (a1), H Hidaka (a1), T Kawase (a1) and Y Katori (a1)...
Abstract
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.

Copyright
Corresponding author
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
References
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1 MinorLB, SolomonD, ZinreichJS, ZeeDS. Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 1998;124:249–58
2 ShaiaWT, DiazRC. Evolution in surgical management of superior canal dehiscence syndrome. Curr Opin Otolaryngol Head Neck Surg 2013;21:497502
3 YamauchiD, YamazakiM, OhtaJ, KadowakiS, NomuraK, HidakaH et al. Closure technique for labyrinthine fistula by “underwater” endoscopic ear surgery. Laryngoscope 2014;124:2616–18
4 MinorLB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope 2005;115:1717–27
5 KirtaneMV, SharmaA, SatwalekarD. Transmastoid repair of superior semicircular canal dehiscence. J Laryngol Otol 2009;123:356–8
6 BeyeaJA, AgrawalSK, ParnesLS. Transmastoid semicircular canal occlusion: a safe and highly effective treatment for benign paroxysmal positional vertigo and superior canal dehiscence. Laryngoscope 2012;122:1862–6
7 HahnY, ZappiaJJ. Modified resurfacing repair for superior semicircular canal dehiscence. Otolaryngol Head Neck Surg 2010;142:763–4
8 AmoodiHA, MakkiFM, McNeilM, BanceM. Transmastoid resurfacing of superior semicircular canal dehiscence. Laryngoscope 2011;121:1117–23
9 TeixidoM, SeymourPE, KungB, SabraO. Transmastoid middle fossa craniotomy repair of superior semicircular canal dehiscence using a soft tissue graft. Otol Neurotol 2011;32:877–81
10 CarterMS, LookabaughS, LeeDJ. Endoscopic-assisted repair of superior canal dehiscence syndrome. Laryngoscope 2014;124:1464–8
11 SilversteinH, KartushJM, ParnesLS, PoeDS, BabuSC, LevensonMJ et al. Round window reinforcement for superior semicircular canal dehiscence: a retrospective multi-center case series. Am J Otolaryngol 2014;35:286–93
12 KobayashiT, SakuradaT, OhyamaK, TakasakaM. Inner ear injury caused by air intrusion to the scala vestibuli of the cochlea. Acta Otolaryngol 1993;113:725–30
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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Yamauchi supplementary material
Yamauchi supplementary material 1

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