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Jugular bulb diverticulum dehiscence towards the vestibular aqueduct in a patient with otosclerosis

Published online by Cambridge University Press:  05 January 2012

V Van Rompaey ,
E Offeciers ,
B De Foer  and
T Somers
V Van Rompaey
Affiliation:
University Department of Otorhinolaryngology and Head and Neck Surgery, Skull Base Team, Sint Augustinus Hospital, Wilrijk, Antwerp, Belgium
E Offeciers
Affiliation:
University Department of Otorhinolaryngology and Head and Neck Surgery, Skull Base Team, Sint Augustinus Hospital, Wilrijk, Antwerp, Belgium
B De Foer
Affiliation:
Department of Radiology, Sint Augustinus Hospital, Wilrijk, Antwerp, Belgium
T Somers*
Affiliation:
University Department of Otorhinolaryngology and Head and Neck Surgery, Skull Base Team, Sint Augustinus Hospital, Wilrijk, Antwerp, Belgium
*
Address for correspondence: Dr T Somers, University Department of Otorhinolaryngology and Head and Neck Surgery, Sint Augustinus Hospital, Oosterveldlaan 24, 2610 Wilrijk, Antwerp, Belgium Fax: + 32 3 443 36 11 E-mail: Thomas.somers@gza.be
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Abstract

Objectives:

To demonstrate the need for computed tomography imaging of the temporal bone before considering revision stapes surgery in patients with recurrent or residual conductive hearing loss.

Case report:

We report the case of a high-riding jugular bulb with an associated jugular bulb diverticulum, which was dehiscent towards the vestibular aqueduct, in a patient with confirmed otosclerosis who did not experience hearing improvement after stapedotomy.

Conclusion:

This case demonstrates the usefulness of temporal bone computed tomography in the evaluation of patients with otosclerosis in whom stapedotomy has not improved hearing. In such patients, revision surgery to address residual hearing loss would eventually prove unnecessary and avoidable.

Keywords

OtosclerosisVestibular AqueductConductive Hearing LossComputed TomographyStapes SurgeryJugular Vein
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 3 , March 2012 , pp. 313 - 315
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Lippy, WH, Battista, RA, Berenholz, L, Schuring, AG, Burkey, JM. Twenty-year review of revision stapedectomy. Otol Neurotol 2003;24:560–6CrossRefGoogle ScholarPubMed
2Vincent, R, Rovers, M, Zingade, N, Oates, J, Sperling, N, Deveze, A et al. Revision stapedotomy: operative findings and hearing results. A prospective study of 652 cases from the Otology-Neurotology Database. Otol Neurotol 2010;31:875–82CrossRefGoogle ScholarPubMed
3Somers, T, Govaerts, P, de Varebeke, SJ, Offeciers, E. Revision stapes surgery. J Laryngol Otol 1997;111:233–9CrossRefGoogle ScholarPubMed
4Merchant, SN, Rosowski, JJ, McKenna, MJ. Superior semicircular canal dehiscence mimicking otosclerotic hearing loss. Adv Otorhinolaryngol 2007;65:137–45Google ScholarPubMed
5Vanspauwen, R, Wuyts, FL, Van de Heyning, PH. Improving vestibular evoked myogenic potential reliability by using a blood pressure manometer. Laryngoscope 2006;116:131–5CrossRefGoogle ScholarPubMed
6Van Rompaey, V, Potvin, J, van den Hauwe, L, Van de Heyning, P. Third mobile window associated with suspected otosclerotic foci in two patients with an air-bone gap. J Laryngol Otol 2011;125:89–92CrossRefGoogle ScholarPubMed
7Friedmann, DR, Le, BT, Pramanik, BK, Lalwani, AK. Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope 2010;120:365–72CrossRefGoogle ScholarPubMed