[Bone dehiscences in the middle ear in patients operated on ear diseases in the Otolaryngology Department of Jagiellonian University, Poland from 2008 to 2012].
BACKGROUND
We perform the middle ear operation to remove pathological tissue and in the next step present ossicular chain reconstruction. Otosurgeon has to also identify bone dehiscences, as a potential way to develop otogenic intracranial and intratemporal complications.


OBJECTIVE
We analyzed the patients with bone defects in the middle and/or posterior cranial fossa who present also defects of the bony wall of the facial nerve canal and lateral semicircular canal.


METHODS
We observed 537 patients who were operated on middle ear for the first time in the Department of Otolaryngology at the Jagiellonian University of Cracow from 2008 to 2012. We used a special questionnaire that includes diagnostics of the ear's disease, method of the operation and short- and long-term effects.


RESULTS
We discuss 45 patients with the skull base defects in the middle and/or posterior cranial fossa. Dehiscence of the bony wall of the facial nerve canal was present in 7 patients. In 4 cases semicircular canal fistula coexisted. The most common cause of bone dehiscence was granulation tissue, less frequently cholesteatoma.


CONCLUSIONS
Katedra i Klinika Otolaryngologii Uniwersytet Jagielloński Collegium Medicum, Kierownik: prof. dr hab. med. Jacek Składzień, Kraków, Polska.
Aleksandra
A
Boroń
Katedra i Klinika Otolaryngologii Uniwersytet Jagielloński Collegium Medicum, Kierownik: prof. dr hab. med. Jacek Składzień, Kraków, Polska. Electronic address: wiatrmaciej@gmail.com.
Maciej
M
Wiatr
Katedra i Klinika Otolaryngologii Uniwersytet Jagielloński Collegium Medicum, Kierownik: prof. dr hab. med. Jacek Składzień, Kraków, Polska.
Robert
R
Przeklasa
Katedra i Klinika Otolaryngologii Uniwersytet Jagielloński Collegium Medicum, Kierownik: prof. dr hab. med. Jacek Składzień, Kraków, Polska.
Jacek
J
Składzień
D001862:Bone Resorption / Q000209:etiology* / Q000473:pathology*; D018424:Cholesteatoma, Middle Ear / Q000473:pathology*; D004427:Ear Diseases / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D011044:Poland; D011183:Postoperative Complications / Q000209:etiology*
Bone dehiscences; Chronic otitis media; Middle ear; przewlekłe zapalenie; ubytki kostne ucha środkowego; ucho środkowe