[Delayed vertigo after stapedotomy with good hearing results].
Stapedial surgery is able to obtain excellent hearing results in the long-term in most otosclerotic patients. Nevertheless, some cases have vertigo and/or tinnitus after surgery, that may lead them to revision surgery. Out of a consecutive series on 115 patients, we present three cases (2,6%) with persistent vertigo after stapedotomy. These patients had residual unsteadiness despite good hearing after surgery, with a minimum follow-up of 12 months. Videonystagmography showed spontaneous nystagmus towards the contralateral ear in one case, whereas the other two had a canalicular paresis in the operated side, signs of vestibular hypofunction. After vestibular rehabilitation, unsteadiness resolved in all cases, with good spontaneous compensation, without any further surgery.
Plaza Mayor
G
G
Servicio de Otorrinolaringología, Hospital de Fuenlabrada, Madrid, España. gplaza.hflr@salud.madrid.org
Herraiz Puchol
C
C
Martínez Rodríguez
B
B
de los Santos Granados
G
G
D005260:Female; D034381:Hearing Loss / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010040:Otosclerosis / Q000150:complications / Q000601:surgery; D012074:Remission Induction; D013201:Stapes Surgery / Q000009:adverse effects*; D013997:Time Factors; D014717:Vertigo / Q000209:etiology*