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Equilibrium and Balance01:15

Equilibrium and Balance

The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
The Vestibular System01:29

The Vestibular System

The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
The Auditory Ossicles01:11

The Auditory Ossicles

The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...

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Related Experiment Video

Updated: Jun 5, 2026

Surgical Labyrinthectomy of the Rat to Study the Vestibular System
04:03

Surgical Labyrinthectomy of the Rat to Study the Vestibular System

Published on: May 19, 2018

Pneumolabyrinth and positional vertigo after stapedectomy.

Marco Mandalà1, Liliana Colletti, Marco Carner

  • 1ENT Department, University of Verona, Italy. marcomand@hotmail.com

Auris, Nasus, Larynx
|January 18, 2011
PubMed
Summary
This summary is machine-generated.

Pneumolabyrinth, a rare complication of stapes surgery, can cause hearing loss and vertigo. This case highlights a unique variant presenting 28 years post-surgery, successfully treated with surgical repair of a perilymphatic fistula.

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Related Experiment Videos

Last Updated: Jun 5, 2026

Surgical Labyrinthectomy of the Rat to Study the Vestibular System
04:03

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Published on: May 19, 2018

Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
09:20

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Published on: March 5, 2022

Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease
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Published on: April 28, 2023

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Radiology

Background:

  • Stapes surgery, while common for hearing loss, can have rare late complications.
  • Pneumolabyrinth, an air collection in the inner ear, is an unusual sequela.
  • Delayed onset symptoms necessitate thorough diagnostic investigation.

Observation:

  • A 67-year-old patient presented with intractable vertigo 28 years after stapedectomy.
  • High-resolution computed tomography (HRCT) revealed a unique pneumolabyrinth variant.
  • The variant affected the vestibule, cochlea, and semicircular canals.

Findings:

  • Exploratory tympanotomy confirmed a perilymphatic fistula.
  • Surgical treatment successfully resolved the patient's vertigo spells.
  • The findings suggest a delayed inflammatory or pressure-related fistula formation.

Implications:

  • This case expands the understanding of rare, late-onset complications following stapes surgery.
  • Early diagnosis and surgical intervention are crucial for managing pneumolabyrinth.
  • Further research into the pathogenetic mechanisms of delayed perilymphatic fistulas is warranted.