Pneumolabyrinth following traumatic luxation of the stapes into the vestibule

Saraç, Sarp; Çengel, Senem; Sennaroḡlu, Levent

doi:10.1016/j.ijporl.2005.05.016

Cited by 33 publications

(30 citation statements)

References 4 publications

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“…There is no definite management for pneumolabyrinth as a result of the limited number of actual cases. Some clinicians favor conservative management for pneumolabyrinth with bed rest, head elevation, use of a stool softener, and avoidance of Valsalva's maneuver and straining 5,6 . However, an exploratory tympanotomy is recommend for patients who show aggravation of vestibular symptoms and HL 5,6 .…”

Section: Discussionmentioning

confidence: 99%

“…Some clinicians favor conservative management for pneumolabyrinth with bed rest, head elevation, use of a stool softener, and avoidance of Valsalva's maneuver and straining 5,6 . However, an exploratory tympanotomy is recommend for patients who show aggravation of vestibular symptoms and HL 5,6 . In the present two cases, the patients were treated for pneumolabyrinth with conservative management because there was an improvement of vestibular symptoms, no aggravation of HL, and no suspected perilymph leakage in the middle ear cavity, as seen on HRCT scans.…”

Section: Discussionmentioning

confidence: 99%

“…The outcome of hearing recovery was quite different for these patients; the vestibular pneumolabyrinth in case 1 caused reversible HL, but the pneumolabyrinth involving both the vestibule and the cochlea in case 2 caused irreversible HL. Although the reason for the different outcomes of hearing recovery is not clear, it may be that air inside the cochlea induces a more severe decrease of cochlear potentials than air inside the vestibule, and, therefore, irreversible HL can occur 2,5–7 …”

Section: Discussionmentioning

confidence: 99%

“…5,6 However, an exploratory tympanotomy is recommend for patients who show aggravation of vestibular symptoms and HL. 5,6 In the present two cases, the patients were treated for pneumolabyrinth with conservative management because there was an improvement of vestibular symptoms, no aggravation of HL, and no suspected perilymph leakage in the middle ear cavity, as seen on HRCT scans. The outcome of hearing recovery was quite different for these patients; the vestibular pneumolabyrinth in case 1 caused reversible HL, but the pneumolabyrinth involving both the vestibule and the cochlea in case 2 caused irreversible HL.…”

Section: Discussionmentioning

confidence: 99%

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Pneumolabyrinth Without Temporal Bone Fracture: Different Outcomes for Hearing Recovery

et al. 2008

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Pneumolabyrinth is a rare clinical manifestation seen in the practice of otology. It occurs usually after head trauma with temporal bone fracture. However, pneumolabyrinth without temporal bone fracture is a very rare occurrence. When it occurs, it is usually diagnosed by high-resolution computed tomography of the temporal bone. Therapy for pneumolabyrinth is conservative treatment or an exploratory tympanotomy. Recently, we saw two cases of pneumolabyrinth after trauma without temporal bone fracture. The patients were treated with conservative management for the pneumolabyrinth. However, the degree of recovery from hearing loss was different for each patient.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pneumolabyrinth Without Temporal Bone Fracture: Different Outcomes for Hearing Recovery

et al. 2008

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“…Blunt or penetrating trauma rarely causes stapes subluxation into the vestibule, due to the inherent strength of the annular ligament. When it does occur, a simple depression of the footplate medially into the vestibule usually occurs 1, 3, 4. We present a rare case of stapes fracture with stapes rotation and subluxation into the vestibule, and associated pneumolabyrinth.…”

Section: Introductionmentioning

confidence: 95%

Traumatic stapes fracture with rotation and subluxation into the vestibule and pneumolabyrinth

et al. 2009

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A 41-year-old man presented after forceful penetrating ear injury. He had incapacitating vestibular symptoms. Computed tomography revealed pneumolabyrinth with a fractured stapes that was >90 degrees rotated and subluxed into the vestibule, such that the crura and capitulum could be seen in the vestibule. Surgical repair reversed the vestibular symptoms, but there was persistent hearing loss. Stapes fractures are unusual and rarely associated with subluxation into the vestibule. When this does occur, there is usually simple footplate depression. This case demonstrates a rare stapes fracture with pneumolabyrinth and >90 degrees stapes rotation, then subluxation into the vestibule. Laryngoscope, 2009.

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Pneumolabyrinth and Pneumocochlea: Natural History, Interventions, & Outcomes

Minor

Eusterman

2010

The Laryngoscope

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Pneumolabyrinth following traumatic luxation of the stapes into the vestibule

Cited by 33 publications

References 4 publications

Pneumolabyrinth Without Temporal Bone Fracture: Different Outcomes for Hearing Recovery

Pneumolabyrinth Without Temporal Bone Fracture: Different Outcomes for Hearing Recovery

Traumatic stapes fracture with rotation and subluxation into the vestibule and pneumolabyrinth

Pneumolabyrinth and Pneumocochlea: Natural History, Interventions, & Outcomes

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