ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2012
Hearing outcomes after surgical plugging of the superior semicircular canal by a middle cranial fossa approach.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.
- Middle cranial fossa approach for the repair of superior semicircular canal dehiscence is associated with greater symptom resolution compared to transmastoid approach.Acta neurochirurgica · 2018Pooled it
- Power reflectance as a screening tool for the diagnosis of superior semicircular canal dehiscence.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2015Trial
- Spontaneous SSCD Auto-Plugging: Clinical, Electrophysiological and Radiological Evidence.Journal of clinical medicine · 2025Article
- Trans-mastoid plugging of superior semicircular canal dehiscence: long-term follow-up.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Article
- Predictors of non-primary auditory and vestibular symptom persistence following surgical repair of superior canal dehiscence syndrome.Frontiers in neurology · 2024Article
- Impaired Vestibulo-Ocular Reflex on Video Head Impulse Test in Superior Canal Dehiscence: "Spontaneous Plugging" or Endolymphatic Flow Dissipation?Audiology research · 2023Article
- Minimal invasive resurfacing: an innovative technique for the superior semicircular canal dehiscence. A case series.Journal of surgical case reports · 2022Article
- New model of superior semicircular canal dehiscence with reversible diagnostic findings characteristic of patients with the disorder.Frontiers in neurology · 2022Article
- Current Trends, Controversies, and Future Directions in the Evaluation and Management of Superior Canal Dehiscence Syndrome.Frontiers in neurology · 2021Review
- Superior semicircular canal dehiscence syndrome: Diagnostic criteria consensus document of the committee for the classification of vestibular disorders of the Bárány Society.Journal of vestibular research : equilibrium & orientation · 2021Article
- Bone-conduction hyperacusis induced by superior canal dehiscence in human: the underlying mechanism.Scientific reports · 2020Article
- Impact of Superior Canal Dehiscence Syndrome on Health Utility Values: A Prospective Case-Control Study.Frontiers in neurology · 2020Article
- Investigation of Mechanisms in Bone Conduction Hyperacusis With Third Window Pathologies Based on Model Predictions.Frontiers in neurology · 2020Article
- Biomechanics of Third Window Syndrome.Frontiers in neurology · 2020Review
- Comparison of Transmastoid and Middle Fossa Approaches for Superior Canal Dehiscence Repair: A Multi-institutional Study.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2019Article
- Effectiveness of Transmastoid Plugging for Semicircular Canal Dehiscence Syndrome.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2018Article
- Stenting the Superior Petrosal Sinus in a Patient With Symptomatic Superior Semicircular Canal Dehiscence.Frontiers in neurology · 2018Article
- Superior Semicircular Canal Dehiscence Syndrome - Diagnosis and Surgical Management.International archives of otorhinolaryngology · 2017Article
- Superior Canal Dehiscence Syndrome: Lessons from the First 20 Years.Frontiers in neurology · 2017Review
- The Vestibular Implant: Hearing Preservation during Intralabyrinthine Electrode Insertion-A Case Report.Frontiers in neurology · 2017Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine postoperative hearing outcomes after surgical plugging via middle cranial fossa approach for superior semicircular canal dehiscence syndrome (SCDS). STUDY
designClinical review.
settingTertiary care medical center. PATIENTS: Forty-three cases of SCDS based on history, physical examination, vestibular function testing, and computed tomography imaging confirming the presence of a dehiscence. All patients underwent surgical plugging of the superior semicircular canal via middle cranial fossa approach.
interventionPure tone audiometry was performed preoperatively and at 7 days and at least 1 month postoperatively.
main outcome measuresChange in air-bone gap (ABG) and pure tone average (PTA).
resultsPreoperative average ABG across 0.25, 0.5, 1, and 2 kHz was 16.0 dB (standard deviation [SD], 7.5 dB). At 7 days postoperatively, average ABG was 16.5 dB (SD, 11.1; p = 0.42), and at greater than 1 month was 8.1 dB (SD, 8.4; p < 0.001). 53% (95% confidence interval, 33-69) of affected ears had greater than 10 dB increase in their 4-frequency (0.5, 1, 2, and 4 kHz) PTA measured by bone-conduction (BC) threshold 7 days postoperatively and 25% (95% confidence interval, 8-39) at greater than 1 month postoperatively. Mean BC PTA of affected ears was 8.4 dB hearing loss (HL) (SD, 10.4) preoperatively. Compared with baseline, this declined to 19.2 dB HL (SD, 12.6; p < 0.001) at 7 days postoperatively and 16.4 dB HL (SD, 18.8; p = 0.01) at greater than 1 month. No significant differences in speech discrimination score were noted (F = 0.17).
conclusionLow-frequency air-bone gap decreases after surgical plugging and seems to be due to both increased BC thresholds and decreased AC thresholds. Surgical plugging via a middle cranial fossa approach in SCDS is associated with mild high-frequency sensorineural hearing loss that persists in 25% but no change in speech discrimination.
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