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Related Experiment Videos

Delayed vertigo after stapes surgery.

Roberto Albera1, Andrea Canale, Michelangelo Lacilla

  • 1Department of Clinical Physio-pathology, II Chair of ENT, University of Turin, Turin, Italy. roberto.albera@unito.it

The Laryngoscope
|May 6, 2004
PubMed
Summary

Revision stapes surgery effectively resolves delayed vertigo after initial procedures. Middle ear exploration is recommended for patients experiencing vertigo post-stapes surgery, even without a confirmed perilymph leak.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Vestibular System

Background:

  • Stapes surgery is highly successful, but complications like delayed vertigo can occur.
  • Delayed vertigo is often linked to perilymphatic fistula, a leak of inner ear fluid.
  • Revision stapes surgery can potentially address hearing loss and vertigo after initial surgery.

Purpose of the Study:

  • To evaluate the effectiveness of revision stapes surgery in resolving delayed vertigo.
  • To report on the surgical experience with delayed vertigo following stapes surgery.
  • To assess the diagnostic value of middle ear exploration in these cases.

Main Methods:

  • Retrospective review of nine patients with delayed vertigo post-stapes surgery.
  • Clinical history, audiometry, bithermal caloric testing, and fistula testing were performed.

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  • All patients underwent functional middle ear exploration under local anesthesia.

    • Main Results:

    • Vertigo resolved in all nine patients following revision stapes surgery.
    • Perilymphatic leak was confirmed in only three (33%) of the cases.
    • Middle ear exploration and fibrin glue application were performed on all patients.

    Conclusions:

    • Revision stapes surgery is an effective treatment for delayed vertigo.
    • Middle ear exploration should be considered in all cases of delayed vertigo after stapes surgery, regardless of fistula test results.
    • The procedure can resolve vertigo even when a clear perilymph leak is not identified.