Cartilage cap occlusion technique for dehiscent superior semicircular canals.

OBJECTIVE

Assessment of a cartilage cap occlusion of dehiscent superior semicircular canals via a transmastoid and tegmen mini-craniotomy approach surgical technique.

STUDY DESIGN

Retrospective case review.

SETTING

Tertiary referral center.

PATIENTS

Thirty-seven patients over a 2 year time period underwent cartilage cap occlusion of a dehiscent superior semicircular canal.

INTERVENTION

Therapeutic.

MAIN OUTCOME MEASURE

Subjective improvement and/or resolution of dizziness postoperatively.

RESULTS

Of 37 patients, 29 (78%) felt much better and had resolution of their dizziness. Of 37 patients, 5 (14%) felt some definite improvement, although not complete resolution. Two patients (5%) felt their dizziness was neither better nor worse, and 1 patient (3%) felt dizziness was worse after surgery.

CONCLUSION

The cartilage cap occlusion technique of dehiscent superior semicircular canals via a transmastoid and tegmen mini-craniotomy approach is a good option for managing symptomatic patients with a dehiscent superior semicircular canal.