A Life Threatening Pitfall in Ear Surgery: Extracranial Sigmoid Sinus.
Identifieur interne : 000152 ( Main/Corpus ); précédent : 000151; suivant : 000153A Life Threatening Pitfall in Ear Surgery: Extracranial Sigmoid Sinus.
Auteurs : Osman Halit Çam ; Mehmet KarataSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2015.
English descriptors
- KwdEn :
- Aged (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Cranial Sinuses (abnormalities), Cranial Sinuses (diagnostic imaging), Diagnosis, Differential (MeSH), Dizziness (diagnosis), Ear Canal (diagnostic imaging), Humans (MeSH), Nausea (diagnosis), Otologic Surgical Procedures (MeSH), Postural Balance (physiology), Sensation Disorders (diagnosis), Temporal Bone (abnormalities), Temporal Bone (diagnostic imaging), Tomography, X-Ray Computed (methods), Tympanic Membrane Perforation (diagnosis).
- MESH :
- abnormalities : Cranial Sinuses, Temporal Bone.
- diagnosis : Benign Paroxysmal Positional Vertigo, Dizziness, Nausea, Sensation Disorders, Tympanic Membrane Perforation.
- diagnostic imaging : Cranial Sinuses, Ear Canal, Temporal Bone.
- methods : Tomography, X-Ray Computed.
- physiology : Postural Balance.
- Aged, Diagnosis, Differential, Humans, Otologic Surgical Procedures.
Abstract
AIM
The aim of this article is to imply the significance of temporal bone computed tomography imaging before temporal surgeries.
CASE
A 74-years-old patient was admitted to emergency department with dizziness and nausea. The neurologic examination showed a spontaneous nystagmus, whereas otologic examination revealed a left tympanic membrane perforation with mild discharge. A temporal bone computed tomography imaging was scheduled to exclude cholesteatoma and perilymphatic fistula. Computed tomography detected an anterior sigmoid sinus with middle fossa defect and subcutaneous course of the sinus in posterior-superior portion of the external ear canal skin with no cholesteatoma sign. Thus, Dix-Hallpike was performed on the patient and was positive on the right side. The patient was diagnosed as benign positional vertigo.
CONCLUSIONS
Sigmoid sinus is an important landmark in otologic surgeries and in some patients it may be problematic because of its dehiscence. To avoid any surgical complications it is highly important to evaluate a temporal bone computed tomography imaging before any transmastoid, retroauricular and edoaural surgeries.
DOI: 10.1097/SCS.0000000000002116
PubMed: 26468844
Links to Exploration step
pubmed:26468844Le document en format XML
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<author><name sortKey="Cam, Osman Halit" sort="Cam, Osman Halit" uniqKey="Cam O" first="Osman Halit" last="Çam">Osman Halit Çam</name>
<affiliation><nlm:affiliation>*Ear Nose and Throat Department, Ozel Kucukyali Delta Hospital, Istanbul †Ear Nose and Throat Department, Adiyaman University Training and Research Hospital, Adiyaman, Turkey.</nlm:affiliation>
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<author><name sortKey="Karata, Mehmet" sort="Karata, Mehmet" uniqKey="Karata M" first="Mehmet" last="Karata">Mehmet Karata</name>
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<author><name sortKey="Cam, Osman Halit" sort="Cam, Osman Halit" uniqKey="Cam O" first="Osman Halit" last="Çam">Osman Halit Çam</name>
<affiliation><nlm:affiliation>*Ear Nose and Throat Department, Ozel Kucukyali Delta Hospital, Istanbul †Ear Nose and Throat Department, Adiyaman University Training and Research Hospital, Adiyaman, Turkey.</nlm:affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (diagnosis)</term>
<term>Cranial Sinuses (abnormalities)</term>
<term>Cranial Sinuses (diagnostic imaging)</term>
<term>Diagnosis, Differential (MeSH)</term>
<term>Dizziness (diagnosis)</term>
<term>Ear Canal (diagnostic imaging)</term>
<term>Humans (MeSH)</term>
<term>Nausea (diagnosis)</term>
<term>Otologic Surgical Procedures (MeSH)</term>
<term>Postural Balance (physiology)</term>
<term>Sensation Disorders (diagnosis)</term>
<term>Temporal Bone (abnormalities)</term>
<term>Temporal Bone (diagnostic imaging)</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>Tympanic Membrane Perforation (diagnosis)</term>
</keywords>
<keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Cranial Sinuses</term>
<term>Temporal Bone</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Dizziness</term>
<term>Nausea</term>
<term>Sensation Disorders</term>
<term>Tympanic Membrane Perforation</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Cranial Sinuses</term>
<term>Ear Canal</term>
<term>Temporal Bone</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Diagnosis, Differential</term>
<term>Humans</term>
<term>Otologic Surgical Procedures</term>
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<front><div type="abstract" xml:lang="en"><p><b>AIM</b>
</p>
<p>The aim of this article is to imply the significance of temporal bone computed tomography imaging before temporal surgeries.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CASE</b>
</p>
<p>A 74-years-old patient was admitted to emergency department with dizziness and nausea. The neurologic examination showed a spontaneous nystagmus, whereas otologic examination revealed a left tympanic membrane perforation with mild discharge. A temporal bone computed tomography imaging was scheduled to exclude cholesteatoma and perilymphatic fistula. Computed tomography detected an anterior sigmoid sinus with middle fossa defect and subcutaneous course of the sinus in posterior-superior portion of the external ear canal skin with no cholesteatoma sign. Thus, Dix-Hallpike was performed on the patient and was positive on the right side. The patient was diagnosed as benign positional vertigo.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Sigmoid sinus is an important landmark in otologic surgeries and in some patients it may be problematic because of its dehiscence. To avoid any surgical complications it is highly important to evaluate a temporal bone computed tomography imaging before any transmastoid, retroauricular and edoaural surgeries.</p>
</div>
</front>
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<Title>The Journal of craniofacial surgery</Title>
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<Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The aim of this article is to imply the significance of temporal bone computed tomography imaging before temporal surgeries.</AbstractText>
<AbstractText Label="CASE" NlmCategory="METHODS">A 74-years-old patient was admitted to emergency department with dizziness and nausea. The neurologic examination showed a spontaneous nystagmus, whereas otologic examination revealed a left tympanic membrane perforation with mild discharge. A temporal bone computed tomography imaging was scheduled to exclude cholesteatoma and perilymphatic fistula. Computed tomography detected an anterior sigmoid sinus with middle fossa defect and subcutaneous course of the sinus in posterior-superior portion of the external ear canal skin with no cholesteatoma sign. Thus, Dix-Hallpike was performed on the patient and was positive on the right side. The patient was diagnosed as benign positional vertigo.</AbstractText>
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