title: A patient with superior semicircular canal dehiscence presenting with Tullio's phenomenon: a case report.
abstract: BACKGROUND
  Superior semicircular canal dehiscence represents a manageable cause of sound and pressure induced vertigo. This case highlights its presentation and investigation, including a review of the literature, and the authors' surgical technique used in its successful treatment.
  
  
  METHODS
  A 45-year-old Caucasian man presented with vertigo induced by sound or pressure. Subsequent investigation revealed dehiscence of the superior semicircular canal and the patient underwent a surgical repair.
  
  
  CONCLUSIONS
  Surgery to repair or resurface the dehiscence represents an effective treatment modality, offering a resolution of symptoms with no detrimental effect on hearing or long-term sequelae. A five-layer composite repair consisting of temporalis fascia - bone pate - conchal cartilage - bone pate - temporalis fascia has been found to be safe and effective.
authors.affiliation: Department of Otolaryngology, Queen's Hospital, Rom Valley Way, Romford, Essex, RM7 0AG, UK. rjhewitt@hotmail.com.
authors.forename: Richard Jd
authors.initials: RJ
authors.lastname: Hewitt
authors.forename: Anthony O
authors.initials: AO
authors.lastname: Owa