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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
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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

Information

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

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References

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