Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Otolaryngology
Volume 2016, Article ID 8520703, 3 pages
http://dx.doi.org/10.1155/2016/8520703
Case Report

Revision Stapedectomy in a Female Patient with Inner Ear Malformation

The Ohio State University Wexner Medical Center, 915 Olentangy River Road, Suite 4000, Columbus, OH 43212, USA

Received 9 January 2016; Accepted 29 March 2016

Academic Editor: Tamás Karosi

Copyright © 2016 Tirth R. Patel and Aaron C. Moberly. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. We describe an unusual case of surgical management of congenital mixed hearing loss in a female patient with inner ear malformation. This report outlines the role of temporal bone imaging and previous surgical history in evaluating a patient’s risk of perilymph gusher during stapes surgery. Methods. A 68-year-old female patient with a history of profound bilateral mixed hearing loss due to ossicular and cochlear malformation presented to our otology clinic. She had undergone multiple unsuccessful previous ear surgeries. Computed tomography revealed bilateral inner ear malformations. She elected to proceed with revision stapedectomy. Results. The patient received modest benefit to hearing, and no operative complications occurred. Conclusions. Although stapedectomy has been shown to improve hearing in patients with stapes fixation, there is risk of perilymph gusher in patients with inner ear abnormalities. Evaluation and counseling of the risk of gusher during stapes surgery should be done on a case-by-case basis.