Traumatic Events Preceding the Development of Superior Canal Dehiscence Syndrome
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| Formato: | Artículo Open Access |
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Wiley
2024
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| _version_ | 1867009157473763328 |
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| author | Eric J. Formeister Pavan S. Krishnan Desi P. Schoo Nicholas Andresen Zahra Sayyid Oren Wei John P. Carey |
| author_facet | Eric J. Formeister Pavan S. Krishnan Desi P. Schoo Nicholas Andresen Zahra Sayyid Oren Wei John P. Carey Eric J. Formeister Pavan S. Krishnan Desi P. Schoo Nicholas Andresen Zahra Sayyid Oren Wei John P. Carey |
| collection | Wiley Open Access |
| contents | Traumatic Events Preceding the Development of Superior Canal Dehiscence Syndrome Eric J. Formeister Pavan S. Krishnan Desi P. Schoo Nicholas Andresen Zahra Sayyid Oren Wei John P. Carey Otolaryngology–Head and Neck Surgery AbstractObjectiveTo describe the features of antecedent head trauma in patients with superior canal dehiscence syndrome (SCDS).Study DesignCross‐sectional survey.SettingTertiary referral center.MethodsAn online survey was sent to 450 adult patients who underwent surgical repair for SCDS patients asking questions about the nature of internal or external traumatic events preceding symptoms.ResultsOne‐hundred and thirty‐six patients (avg. age, 51.9 years, 62.8% female) completed the survey, of which 61 (44.9%) described either preceding external head trauma (n = 35, 26%), preceding internal pressure event (n = 33, 25%), or both (8, 6%). Of those endorsing external trauma, 22 (63%) described a singular event (head hit by object (n = 8); head hit ground (n = 5); motor vehicle accident (n = 4); assault (n = 2); other (n = 3). One‐third experienced loss of consciousness because of the trauma. For those describing internal pressure events (n = 33), the most common events were heavy physical exertion (9, 27%); pressure changes while flying (6, 18%); coughing, nose blowing with illness (5, 15%); childbirth (5, 15%); and self contained underwater breathing apparatus diving events (3, 9%). The interval between trauma and onset of symptoms averaged 5.6 years (SD, 10.7 years). One‐third (n = 19) described onset of symptoms immediately after the external trauma or internal pressure event. Symptoms began on the side ipsilateral to the trauma in 91%. Sound‐ and pressure‐induced vertigo/oscillopsia developed more commonly after external trauma versus internal pressure events (68% and 61% vs 44% and 32%, respectively).ConclusionTrauma or internal pressure‐related events precede SCDS symptoms in nearly half of cases, with roughly half of preceding events being external. 10.1002/ohn.697 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/ohn.697 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_ohn_697 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Traumatic Events Preceding the Development of Superior Canal Dehiscence Syndrome Eric J. Formeister Pavan S. Krishnan Desi P. Schoo Nicholas Andresen Zahra Sayyid Oren Wei John P. Carey Otolaryngology–Head and Neck Surgery Traumatic Events Preceding the Development of Superior Canal Dehiscence Syndrome Eric J. Formeister Pavan S. Krishnan Desi P. Schoo Nicholas Andresen Zahra Sayyid Oren Wei John P. Carey Otolaryngology–Head and Neck Surgery AbstractObjectiveTo describe the features of antecedent head trauma in patients with superior canal dehiscence syndrome (SCDS).Study DesignCross‐sectional survey.SettingTertiary referral center.MethodsAn online survey was sent to 450 adult patients who underwent surgical repair for SCDS patients asking questions about the nature of internal or external traumatic events preceding symptoms.ResultsOne‐hundred and thirty‐six patients (avg. age, 51.9 years, 62.8% female) completed the survey, of which 61 (44.9%) described either preceding external head trauma (n = 35, 26%), preceding internal pressure event (n = 33, 25%), or both (8, 6%). Of those endorsing external trauma, 22 (63%) described a singular event (head hit by object (n = 8); head hit ground (n = 5); motor vehicle accident (n = 4); assault (n = 2); other (n = 3). One‐third experienced loss of consciousness because of the trauma. For those describing internal pressure events (n = 33), the most common events were heavy physical exertion (9, 27%); pressure changes while flying (6, 18%); coughing, nose blowing with illness (5, 15%); childbirth (5, 15%); and self contained underwater breathing apparatus diving events (3, 9%). The interval between trauma and onset of symptoms averaged 5.6 years (SD, 10.7 years). One‐third (n = 19) described onset of symptoms immediately after the external trauma or internal pressure event. Symptoms began on the side ipsilateral to the trauma in 91%. Sound‐ and pressure‐induced vertigo/oscillopsia developed more commonly after external trauma versus internal pressure events (68% and 61% vs 44% and 32%, respectively).ConclusionTrauma or internal pressure‐related events precede SCDS symptoms in nearly half of cases, with roughly half of preceding events being external. 10.1002/ohn.697 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Traumatic Events Preceding the Development of Superior Canal Dehiscence Syndrome |
| topic | Otolaryngology–Head and Neck Surgery |
| url | https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.697 |