Open Journal of Modern Neurosurgery

Volume 12, Issue 1 (January 2022)

ISSN Print: 2163-0569   ISSN Online: 2163-0585

Google-based Impact Factor: 0.31  Citations  

Subtemporal Extradural Approach for Dehiscence of the Superior Semicircular Canal: Surgical Technique and Results in Three Consecutive Patients

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DOI: 10.4236/ojmn.2022.121003    124 Downloads   777 Views  

ABSTRACT

We describe three patients with severe disabling symptoms of unilateral dehiscence of the superior semicircular canal (DSSC) who had surgical treatment. Each patient underwent a unilateral subtemporal extradural approach with resurfacing the DCCS. In all 3 patients, all symptoms were completely resolved and remained symptom free on the long term. There were no postoperative complications. Only one patient experienced a temporary CSF hypotension syndrome and some dizziness. The pseudo-conductive hearing loss improved or resolved in all patients. Surgical treatment should be considered in patients with severe, disabling DSSC symptoms. Surgical resurfacing of the DSSC is a safe and rewarding surgical technique. The long term success rate regarding the elimination of the pseudo-conductive hearing loss and resolution of vestibular symptoms outweigh the potential surgical risks of this technique in these patients.

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Hendrickx, S. , Ciçek, A. , Cortier, J. , Damme, O. , Lerbeirghe, J. , Leupe, P. , Forton, G. and Vanhauwaert, D. (2022) Subtemporal Extradural Approach for Dehiscence of the Superior Semicircular Canal: Surgical Technique and Results in Three Consecutive Patients. Open Journal of Modern Neurosurgery, 12, 28-38. doi: 10.4236/ojmn.2022.121003.

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