[Utricular enlargements].

OBJECTIVE

Six cases of enlarged utricle are described, with special reference to the clinical, diagnostic and therapeutic aspects.

METHODS/RESULTS: Utricular enlargement was suspected or confirmed radiologically in 5 cases and was confirmed by endoscopy in 5 cases. No patient was submitted to surgery. One patient underwent endoscopic removal of a utricular calculus. Prolonged medical treatment was required to maintain 5 patients free from infection. Good results were observed in 5 cases 1-9 years following diagnosis.

CONCLUSIONS

Like most of the authors, we advocate treatment only for those cases with marked symptomatology, since children are at a very high risk for iatrogenic complications. Most of the cases, as shown in our series, do not require any treatment.