Vertigo Associated with Otosclerosis and Stapes Surgery-A Narrative Review

Otosclerosis is a pathological condition affecting the temporal bone, and is characterized by remodelling of the labyrinthine bone tissue through a dynamic process of osteolysis and osteogenesis. This condition progressively leads to hearing loss, tinnitus, and vertigo. Stapedotomy, a surgical proce...

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Published in:Medicina (Kaunas, Lithuania) Lithuania), 2023-08, Vol.59 (8), p.1485
Main Authors: Necula, Violeta, Maniu, Alma Aurelia, Ujváry, László-Péter, Dindelegan, Maximilian-George, Tănase, Mara, Tănase, Mihai, Blebea, Cristina Maria
Format: Article
Language:English
Subjects:
Care and treatment
Connective tissue
Cytokines
Deafness
dizziness
Enzymes
Hearing loss
Humans
Inflammation
Ligaments
Measles
Osteogenesis
Otosclerosis
Otosclerosis - complications
Otosclerosis - surgery
Review
stapes surgery
Stapes Surgery - adverse effects
Surgery
Tumor necrosis factor-TNF
Vertigo
Vertigo - etiology
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Summary:Otosclerosis is a pathological condition affecting the temporal bone, and is characterized by remodelling of the labyrinthine bone tissue through a dynamic process of osteolysis and osteogenesis. This condition progressively leads to hearing loss, tinnitus, and vertigo. Stapedotomy, a surgical procedure involving the removal of the stapes superstructure and its replacement with a prosthesis, is the treatment of choice to improve hearing in individuals with otosclerosis. However, vestibular dysfunction is a significant complication associated with this procedure, which can occur intraoperatively or postoperatively, ranging from the immediate postoperative period to weeks, months, or even years after surgery. This paper aims to provide a comprehensive review of the most important causes of vertigo associated with otosclerosis and stapes surgery with the goal of minimizing the incidence of this complication. Understanding the underlying factors contributing to vertigo in this context is crucial for the prevention and effective management of vertigo in patients undergoing stapedotomy.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina59081485