Abstract
Different types of otic capsule dehiscence restricted to the cochlea have been described. Here we describe the case of a patient with a cochlear-internal auditory canal dehiscence associated with a cochlear-facial dehiscence not reported before. A 53-year-old patient with severe to profound sensorineural hearing loss due to bilateral Meniere's disease underwent a cochlear implant surgery on the right ear. Preoperative brain magnetic resonance imaging findings were reported to be normal; during surgery, a cerebrospinal fluid gusher occurred at the time of round window opening. Postoperative computed tomography imaging showed a bony dehiscence at two levels of the otic capsule.
MeSH terms
-
Anti-Bacterial Agents / therapeutic use
-
Cerebrospinal Fluid Leak / diagnosis
-
Cerebrospinal Fluid Leak / etiology*
-
Cerebrospinal Fluid Leak / surgery
-
Cochlea / abnormalities*
-
Cochlea / diagnostic imaging
-
Cochlear Implantation / methods
-
Ear Canal / surgery
-
Gentamicins / administration & dosage
-
Gentamicins / therapeutic use
-
Hearing Loss, Sensorineural / diagnosis
-
Hearing Loss, Sensorineural / etiology
-
Hearing Loss, Sensorineural / surgery*
-
Humans
-
Injection, Intratympanic
-
Magnetic Resonance Imaging
-
Male
-
Meniere Disease / complications*
-
Middle Aged
-
Round Window, Ear / abnormalities
-
Round Window, Ear / pathology
-
Semicircular Canals / diagnostic imaging
-
Semicircular Canals / pathology
-
Tinnitus / diagnosis
-
Tinnitus / etiology
-
Tomography, X-Ray Computed
-
Treatment Outcome
-
Vestibular Evoked Myogenic Potentials / physiology
Substances
-
Anti-Bacterial Agents
-
Gentamicins