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Large vestibular aqueduct syndrome and stapes fixation

Published online by Cambridge University Press:  29 June 2007

A. Shirazi
Affiliation:
Department of Otology and Neuro-Otology, St Vincents Hospital, Darlinghurst, Sydney, Australia.
J. E. Fenton
Affiliation:
Department of Otology and Neuro-Otology, St Vincents Hospital, Darlinghurst, Sydney, Australia.
P. A. Fagan*
Affiliation:
Department of Otology and Neuro-Otology, St Vincents Hospital, Darlinghurst, Sydney, Australia.
*
Dr Paul Fagan, 352 Victoria Street, Darlinghurst, NSW 2010, Australia.

Abstract

An abnormally large vestibular aqueduct has a well recognized association with inner ear anomalies and it has been assumed previously to be a variant of a Mondini type of deformity (Shuknecht, 1980; Emmett, 1985). The sole radiological finding in some patients with progressive sensorineural loss has been a large vestibular aqueduct (Valvassori and Clemis, 1978; Valvassori, 1983), which is now accepted as a separate clinical entity, i.e. the large vestibular aqueduct syndrome (LVAS).

A case is presented which is believed to be the first reported with unilateral LVAS and stapes fixation and also the first stapes gusher described in association with LVAS.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1994

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References

Arenberg, I. K. (1980) Abnormalities, congenital anomalies and unusual anatomic variations of the endolymphatic sac and vestibular aqueduct: clinical, surgical and radiographic correlations. American Journal of Otology 2: 118149.Google ScholarPubMed
Belenky, W. M., Madgy, D. N., Leider, J. S., Becker, C. J., Hotaling, A. J. (1993) The enlarged vestibular aqueduct syndrome. Ear, Nose and Throat Journal 72(11): 746751.CrossRefGoogle ScholarPubMed
Emmett, J. R. (1985) The large vestibular aqueduct syndrome. American Journal of Otology 6: 387403.Google ScholarPubMed
Farrior, J. B., Endicott, J. N. (1971) Congenital mixed deafness: cerebrospinal fluid otorrhoea. Ablation of the aqueduct of the cochlea. Laryngoscope 81: 684699.CrossRefGoogle ScholarPubMed
Gussen, R. (1985) The endolymphatic sac in Mondini disorder. Archives of Otology 242: 7176.Google ScholarPubMed
Hill, J. H. (1984) Enlargement of the vestibular aqueduct. American Journal of Otology 5: 411414.CrossRefGoogle ScholarPubMed
Jackler, R. K., Luxford, W. M., House, W. F. (1987) Sound detection with the cochlear implant in five ears of four children with congenital malformations of the cochlea. Laryngoscope 97 (140): 1517.CrossRefGoogle ScholarPubMed
Jackler, R. K., Brackmann, D. E. (1988) Endolymphatic sac surgery in congenital malformations of the inner ear. Laryngoscope 98: 698704.CrossRefGoogle ScholarPubMed
Jackler, R. (1989) The large vestibular aqueduct syndrome. Larynogoscope 99: 12381242.CrossRefGoogle ScholarPubMed
Levenson, M. J. (1989) The large vestibular aqueduct in children. Archives of Otology 115: 5458.CrossRefGoogle ScholarPubMed
Schuknecht, H. F. (1980) Mondini dysplasia: clinical and pathological study. Annals of Otology, Rhinoloqy and Laryngology 65 (suppl): 123.Google Scholar
Valvassori, G. E., Clemis, J. D. (1978) The large vestibular aqueduct syndrome. Laryngoscope 88: 723728.CrossRefGoogle ScholarPubMed
Valvassori, G. E. (1983) The large vestibular aqueduct and associated anomalies of the inner ear. Otolaryngologic Clinics of North America 16(1): 95101.CrossRefGoogle ScholarPubMed
Wiet, R. J., Harvey, S. T., Bauer, G. P. (1993) Complications in stapes surgery, options for prevention and management. Otolaryngologic Clinics of North America 26 (3): 471490.CrossRefGoogle ScholarPubMed