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


METHODS
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.


CONCLUSIONS
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.
University Department of Otorhinolaryngology and Head and Neck Surgery, Skull Base Team, Sint Augustinus Hospital, Wilrijk, Antwerp, Belgium.
V
V
Van Rompaey
E
E
Offeciers
B
B
De Foer
T
T
Somers
D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006314:Hearing Loss, Conductive / Q000150:complications / Q000601:surgery*; D006801:Humans; D007601:Jugular Veins / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000473:pathology; D008875:Middle Aged; D010040:Otosclerosis / Q000150:complications* / Q000601:surgery; D011300:Preoperative Care; D012086:Reoperation; D013201:Stapes Surgery; D013701:Temporal Bone / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D014723:Vestibular Aqueduct