Round window reinforcement for superior semicircular canal dehiscence: A retrospective multi-center case series

Herbert Silverstein, Jack M. Kartush, Lorne S. Parnes, Dennis S. Poe, Seilesh C. Babu, Mark J. Levenson, Jack Wazen, Ryan W. Ridley

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose To evaluate the outcome of round window (RW) tissue reinforcement in the management of superior semicircular canal dehiscence (SSCD). Materials and methods Twenty-two patients with confirmed diagnosis of SSCD by clinical presentation, imaging, and/or testing were included in the study. Six surgeons at four institutions conducted a multicenter chart review of patients treated for symptomatic superior canal dehiscence using RW tissue reinforcement or complete RW occlusion. A transcanal approach was used to reinforce the RW with various types of tissue. Patients completed a novel postoperative survey, grading preoperative and postoperative symptom severity. Results Analysis revealed statistically significant improvement in all symptoms with the exception of hearing loss in 19 patients who underwent RW reinforcement. In contrast, 2 of 3 participants who underwent the alternate treatment of RW niche occlusion experienced worsened symptoms requiring revision surgery. Conclusion RW tissue reinforcement may reduce the symptoms associated with SSCD. The reinforcement technique may benefit SSCD patients by reducing the "third window" effect created by a dehiscent semicircular canal. Given its low risks compared to middle cranial fossa or transmastoid canal occlusion, RW reinforcement may prove to be a suitable initial procedure for intractable SSCD. In contrast, complete RW occlusion is not advised.

Original languageEnglish (US)
Pages (from-to)286-293
Number of pages8
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume35
Issue number3
DOIs
StatePublished - 2014

ASJC Scopus subject areas

  • Otorhinolaryngology

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