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Stapediovestibular dislocation with pneumolabyrinth

Published online by Cambridge University Press:  14 May 2007

S Nishiike ,
Y Hyo  and
H Fukushima
S Nishiike*
Affiliation:
Department of Otolaryngology, Kawasaki Medical School, Kurashiki, Okayama, Japan
Y Hyo
Affiliation:
Department of Otolaryngology, Kawasaki Medical School, Kurashiki, Okayama, Japan
H Fukushima
Affiliation:
Department of Otolaryngology, Kawasaki Medical School, Kurashiki, Okayama, Japan
*
Address for correspondence: Dr Suetaka Nishiike, Department of Otolaryngology, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan. Fax: +81 86 462 1199 E-mail: [email protected]
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Abstract

Traumatic luxation of the stapes into the vestibule is a rare entity, and the disease complicated with pneumolabyrinth is extremely rare. We report the case of a 72-year-old woman with pneumolabyrinth associated with a stapediovestibular dislocation. The patient presented with vertigo and nystagmus following penetrating trauma to the middle ear. High resolution computed tomography scans demonstrated air in the vestibule and dislocation of the stapes. Exploratory tympanotomy demonstrated oozing of the perilymph from the oval window and depression of the stapes into the vestibule. Pneumolabyrinth and stapes luxation detected by high resolution computed tomography should be predictive of a perilymphatic fistula.

Keywords

Computed TomographyX-RayStapesTraumaVestibule
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 4 , April 2008 , pp. 419 - 421
Copyright
Copyright © JLO (1984) Limited 2007

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References

1 Podoshin, L, Fradis, M, Ben-David, J, Berger, SI, Feiglin, H. Perilymphatic fistula – the value of diagnostic tests. J Laryngol Otol 1994;108:560–3CrossRefGoogle ScholarPubMed
2 House, JW, Morris, MS, Kramer, SJ, Shasky, GL, Coggan, BB, Putter, JS. Perilymphatic fistula: surgical experience in the United States. Otolaryngol Head Neck Surg 1991;105:51–61CrossRefGoogle ScholarPubMed
3 Herman, P, Guichard, JP, Van den Abbeele, T, Tan, CT, Bensimon, JL, Marianowski, R et al. Traumatic luxation of the stapes evidenced by high-resolution CT. AJNR Am J Neuroradiol 1996;17:1242–4Google ScholarPubMed
4 Gross, M, Ben-Yaakov, A, Goldfarb, A, Eliashar, R. Pneumolabyrinth: an unusual finding in a temporal bone fracture. Int J Pediatr Otorhinolaryngol 2003;67:553–5CrossRefGoogle Scholar
5 Choe, KS, Arigo, J, Zeifer, B. Stapediovestibular dislocation. Otol Neurotol 2002;23:102–3CrossRefGoogle ScholarPubMed
6 Meriot, P, Veillon, F, Garcia, JF, Nonent, M, Jezequel, J, Bourjat, P et al. CT appearances of ossicular injuries. Radiographics 1997;17:1445–54CrossRefGoogle ScholarPubMed
7 Sarac, S, Cengel, S, Sennaroglu, L. Pneumolabyrinth following traumatic luxation of the stapes into the vestibule. Int J Pediatr Otorhinolaryngol 2006;70:159–61CrossRefGoogle ScholarPubMed
8 Yamasoba, T, Amagai, N, Karino, S. Traumatic luxation of the stapes into the vestibule. Otolaryngol Head Neck Surg 2003;129:287–90CrossRefGoogle ScholarPubMed
9 Bartlett, PC. Traumatic subluxation of the stapes. Ear Nose Throat J 1977;56:214–16Google ScholarPubMed
10 Mafee, MF, Valvassori, GE, Kumar, A, Yannias, DA, Marcus, RE. Pneumolabyrinth: a new radiologic sign for fracture of the stapes footplate. Am J Otol 1984;5:374–5Google ScholarPubMed
11 Pashley, NR. Simultaneous round and oval window fistulae in a child. Ann Otol Rhinol Laryngol 1982;91:332–5CrossRefGoogle ScholarPubMed
12 Scheid, SC, Feehery, JM, Willcox, TO, Lowry, LD. Pneumolabyrinth: a late complication of stapes surgery. Ear Nose Throat J 2001;80:750–3CrossRefGoogle ScholarPubMed
13 Arragg, FG, Paparella, MM. Traumatic fracture of the stapes. Laryngoscope 1964;74:1329–32CrossRefGoogle ScholarPubMed