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Superior canal dehiscence syndrome: clinical manifestations and radiologic correlations

The objective of this study is to describe the superior canal dehiscence syndrome (SCDS) and its vestibule–cochlear manifestations, while analyzing dehiscence size, audiogram and vestibular-evoked myogenic potential (VEMP) changes following dehiscence obliteration. We conducted a prospective study i...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2014-11, Vol.271 (11), p.2905-2914
Main Authors: Saliba, Issam, Maniakas, Anastasios, Benamira, Lina Zahra, Nehme, Jade, Benoit, Mélanie, Montreuil-Jacques, Véronique
Format: Article
Language:English
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Summary:The objective of this study is to describe the superior canal dehiscence syndrome (SCDS) and its vestibule–cochlear manifestations, while analyzing dehiscence size, audiogram and vestibular-evoked myogenic potential (VEMP) changes following dehiscence obliteration. We conducted a prospective study in a tertiary referral center. All Patients diagnosed and surgically treated for SCDS were operated through a middle fossa craniotomy (MFC). Clinical and radiological data were collected. The main outcome measures were Air-bone gaps, Pure-tone average (PTA), speech discrimination scores (SDS) and VEMP thresholds and were correlated to dehiscence size. 28 patients were included in this study with a mean dehiscence size of 4.68 mm. Phonophobia and imbalance were the most debilitating cochlear and vestibular symptoms, respectively. At 2 months postoperatively, low-frequency air-bone gaps showed a statistically significant improvement ( p  
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-013-2711-x