Late pneumolabyrinth after stapedectomy.

Late pneumolabyrinth after stapedectomy.

Eur Ann Otorhinolaryngol Head Neck Dis. 2016 Jun 15;

Authors: Ziade G, Barake R, El Natout T, El Natout MA

Abstract
INTRODUCTION: Pneumolabyrinth is defined as the presence of air within the inner ear causing cochleovestibular signs and symptoms. Twenty-seven cases of pneumolabyrinth are published in the literature of which only two were described as delayed pneumolabyrinth as a complication of stapes surgery.
CASE REPORT: A 45-year-old male patient presented with vertigo after Valsalva maneuver 12 years after stapedectomy. He was diagnosed with delayed pneumolabyrinth on high resolution computed tomography and underwent an exploratory tympanotomy with surgical repair.
DISCUSSION: Delayed pneumolabyrinth is a rare complication of stapes surgery and should be considered in patients presenting with vestibulocochlear symptoms even many years later. An exploratory tympanotomy is recommended for patients diagnosed with pneumolabyrinth and having a sensorineural hearing loss and/or persistent vertigo.

PMID: 27318888 [PubMed - as supplied by publisher]

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