Second-side surgery in superior canal dehiscence syndrome

Yuri Agrawal, Lloyd B. Minor, Michael C. Schubert, Kristen L. Janky, Marcela Davalos-Bichara, John P. Carey

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Objective: Bilateral superior canal (SC) dehiscence syndrome poses a challenge because bilateral SC dehiscence (SCD) plugging might be expected to result in oscillopsia and disability. Our aims were as follows: 1) to evaluate which symptoms prompted patients with bilateral SCD syndrome (SCDS) to seek second-side surgery, and 2) to determine the prevalence of disabling imbalance and oscillopsia after bilateral SC plugging. Study Design: Prospective observational study. Setting: Tertiary referral center. Patients: Five patients with bilateral SCDS based on history, audiometric and physiologic testing, and computed tomographic findings. This includes all of our patients who have had second-side plugging surgery to date. Intervention(s): Bilateral sequential middle fossa craniotomy and plugging of SCs. Main Outcome Measure(s): Cochleovestibular symptoms, cervical and ocular vestibular-evoked myogenic potential testing, dizziness handicap inventory, short-form 36 Health Survey, dynamic visual acuity testing. Results: The most common symptoms prompting second-side surgery were sound- and pressure-induced vertigo and autophony. Three of the 5 patients reported that symptoms shifted to the contralateral ear immediately after plugging the first side, whereas in 2 patients, contralateral symptoms developed several years after the first SC plugging. Two of 4 patients experienced ongoing oscillopsia after bilateral SCDS surgery; however, all patients reported relief from their SCD symptoms and were glad that they had pursued bilateral surgery. Conclusion: In patients with bilateral SCDS, sound- and pressure-induced vertigo most commonly prompted second-side surgery. Despite some degree of oscillopsia after bilateral SCDS surgery, patients were very satisfied with second-side surgery, given their relief from other SCDS symptoms.

Original languageEnglish (US)
Pages (from-to)72-77
Number of pages6
JournalOtology and Neurotology
Volume33
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • Bilateral
  • Quality of life
  • Superior canal dehiscence

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

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    Agrawal, Y., Minor, L. B., Schubert, M. C., Janky, K. L., Davalos-Bichara, M., & Carey, J. P. (2012). Second-side surgery in superior canal dehiscence syndrome. Otology and Neurotology, 33(1), 72-77. https://doi.org/10.1097/MAO.0b013e31823c9182