Evidence map›Paper›PMID 42378538›Full record

ArticleThe journal of international advanced otology2025

Round Window Reinforcement for Semicircular Canal Dehiscence Syndrome.

Holger Sudhoff

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Article in The journal of international advanced otology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Holger SudhoffDepartment of Otorhinolaryngology, Head and Neck Surgery, Bielefeld ENT Institute (BENTI), Kopfzentrum Bielefeld Medical Faculty OWL, Bielefeld, Germany.ORCID 0000-0002-9274-5645

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the clinical outcomes and safety profile of round window reinforcement (RWR) as a minimally invasive surgical treatment for patients with semicircular canal dehiscence syndrome (SCDS).

methodsThis retrospective case series analyzed 7 patients (mean age: 59 years) diagnosed with SCDS who underwent transcanal RWR between June 2024 and June 2025 at the Kopfzentrum Bielefeld. Inclusion criteria followed the Bárány Society consensus diagnostic standards. Clinical symptoms, audiometric findings, and vestibular test results-including Dizziness Handicap Inventory (DHI) scores-were assessed pre and postoperatively. In 2 patients, endolymphatic hydrops was diagnosed via delayed contrast-enhanced magnetic resonance imaging and monitored postoperatively.

resultsAll patients completed follow-up (mean: 35 months). Improvement in auditory symptoms was observed in 5 of 7 patients (71.4%), including tinnitus relief in 83.3% and hyperacusis relief in 75%. Vertigo improved in 50% of symptomatic cases. No postoperative deterioration in symptoms, DHI score, or hearing was observed. Audiometric outcomes showed a non-significant mean change in air-bone gap (±2.5 dB). No intra- or postoperative complications occurred. In patients with concomitant hydrops, auditory improvement was noted, though vertigo persisted.

conclusionRound window reinforcement appears to be a safe and effective therapeutic option for selected patients with SCDS, particularly those presenting predominantly auditory symptoms or contraindications to more invasive procedures. Further prospective studies are needed to validate these findings and define the role of RWR in the broader surgical management of third window syndromes.

Indexed as

Otologic Surgical ProceduresRound Window, EarSemicircular Canal DehiscenceSemicircular CanalsAdultAgedAudiometryEndolymphatic HydropsFemaleHumansHyperacusisMagnetic Resonance ImagingMaleMiddle AgedMinimally Invasive Surgical ProceduresRetrospective StudiesAuditory symptomsendolymphatic hydropsround window reinforcementsuperior semicircular canal dehiscencethird window syndrometranscanal surgeryvertigo

Identifiers

PMID42378538
PMCPMC12520142

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.