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[Sensorineural hearing loss caused by middle ear surgery]

M Sakagami1, H Ogasawara, M Node

  • 1Department of Otolaryngology, Hyogo College of Medicine.

Nihon Jibiinkoka Gakkai Kaiho
|July 1, 1997
PubMed
Summary

Sensorineural hearing loss is a rare complication of middle ear surgery. This review examines five cases, identifying potential causes like labyrinthitis, acoustic trauma from surgical tools, and unknown factors after stapes surgery.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Audiology

Background:

  • Sensorineural hearing loss (SNHL) is an infrequent complication following middle ear surgery.
  • This study reviews five documented cases of SNHL post-middle ear procedures.

Observation:

  • The cases represented 0.9% of all middle ear operations performed by the lead author.
  • Potential causes identified include labyrinthitis secondary to cholesteatoma, and acoustic trauma from bone-cutting burrs.
  • Two cases of SNHL occurred months after stapes surgery with unknown etiology.

Findings:

  • Labyrinthitis, acoustic trauma from surgical burrs, and idiopathic SNHL post-stapes surgery are identified as potential causes.
  • The incidence of SNHL in this series was low, highlighting its rarity.

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Implications:

  • Understanding these rare complications is crucial for managing patients undergoing middle ear surgery.
  • Further research into the causes of SNHL after stapes surgery is warranted.
  • This review contributes to the literature on managing labyrinthine fistulas and the acoustic effects of surgical instrumentation.