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Updated: Jun 4, 2026

Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
Published on: March 5, 2022
Superior canal dehiscence in a patient with three failed stapedectomy operations for otosclerosis: a case report
Martin Lehmann1, Jörg Ebmeyer, Tahwinder Upile
1Department of Otolaryngology, Head and Neck Surgery, Bielefeld Academic Teaching Hospital, Münster University, Münster, Germany. holger.sudhoff@rub.de.
Introduction:
This case illustrates that superior semicircular canal dehiscence syndrome can be associated with a "pseudo"-conductive hearing loss, a symptom that overlaps with the clinical appearance of otosclerosis.
Case Presentation:
We present the case of a 48-year-old German Caucasian woman presenting with hearing loss on the left side and vertigo. She had undergone three previous stapedectomies for hearing improvement. Reformatted high-resolution computed tomographic scanning and the patient's history confirmed the diagnosis of concurrent canal dehiscence syndrome.
Conclusion:
Failure of hearing improvement after otosclerosis surgery may indicate an alternative underlying diagnosis which should be explored by further appropriate evaluation.

