The Journal of Laryngology & Otology

Table of Contents - March 2012 - Volume 126, Issue 03  

Clinical Records

Jugular bulb diverticulum dehiscence towards the vestibular aqueduct in a patient with otosclerosis

V Van Rompaeya1, E Offeciersa1, B De Foera2 and T Somersa1 c1

a1 University Department of Otorhinolaryngology and Head and Neck Surgery, Skull Base Team, Sint Augustinus Hospital, Wilrijk, Antwerp, Belgium

a2 Department of Radiology, Sint Augustinus Hospital, Wilrijk, Antwerp, Belgium

Abstract

Objectives: To demonstrate the need for computed tomography imaging of the temporal bone before considering revision stapes surgery in patients with recurrent or residual conductive hearing loss.

Case report: We report the case of a high-riding jugular bulb with an associated jugular bulb diverticulum, which was dehiscent towards the vestibular aqueduct, in a patient with confirmed otosclerosis who did not experience hearing improvement after stapedotomy.

Conclusion: This case demonstrates the usefulness of temporal bone computed tomography in the evaluation of patients with otosclerosis in whom stapedotomy has not improved hearing. In such patients, revision surgery to address residual hearing loss would eventually prove unnecessary and avoidable.

(Accepted June 30 2011)

(Online publication January 05 2012)

Key words

Correspondence:

c1 Address for correspondence: Dr T Somers, University Department of Otorhinolaryngology and Head and Neck Surgery, Sint Augustinus Hospital, Oosterveldlaan 24, 2610 Wilrijk, Antwerp, Belgium Fax: + 32 3 443 36 11 E-mail: Thomas.somers@gza.be

Footnotes

Dr T Somers takes responsibility for the integrity of the content of the paper

Competing interests: None declared

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