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Traumatic Stapediovestibular Dislocation With Intact Stapes: Report and Review
Qinzhan Ren1, Jinfei Su1, Jinyuan Si1
1Department of Otolaryngology-Head and Neck Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Ear, Nose, & Throat Journal
|October 23, 2020
Summary
Stapediovestibular dislocation, a rare middle ear injury, can cause hearing loss and vertigo. Surgery effectively restored vestibular function and partially improved hearing in a case involving a perilymph fistula.
Area of Science:
- Otolaryngology
- Neurosurgery
- Medical Case Study
Background:
- Stapediovestibular dislocation is a rare consequence of traumatic middle ear injury.
- Perilymph fistula can occur concurrently with stapediovestibular dislocation.
Observation:
- A 60-year-old female presented with hearing loss, vertigo, and tinnitus after penetrating ear trauma.
- Conservative management for 4 months did not alleviate her symptoms.
Findings:
- Surgical intervention, including stapes repositioning, ossiculoplasty, and tympanic membrane repair, resolved vestibular symptoms.
- Partial improvement in hearing loss was observed post-surgery.
Implications:
- Surgical restoration of the stapes is an effective treatment for stapediovestibular dislocation.
- This case highlights the importance of surgical consideration for persistent symptoms following middle ear trauma.
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