{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T03:55:57Z","timestamp":1783137357623,"version":"3.54.6"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,12,17]],"date-time":"2018-12-17T00:00:00Z","timestamp":1545004800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The development of pneumolabyrinth without previous head trauma is a rare event; the associated symptoms may be nonspecific, and they can simulate various cochleo-vestibular pathological entities. The aim of the present study is to describe one of these rare occurrences, characterized by a peculiar onset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We report a case of stapes fracture secondary to ear pick penetration into the middle ear with a pneumolabyrinth that caused a recurrent paroxysmal positional vertigo (PPV) mimicking a canalolithiasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The patient developed a profound left sensorineural hearing loss and an intractable PPV with \u201cmigrant\u201d features. A pneumolabyrinth was visualized with high-resolution computed tomography. A perilymphatic fistula (PLF) with stapes fracture was found while performing an explorative tympanotomy. After the surgical treatment of the PLF, the patient no longer complained of vestibular symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>To our knowledge, this is the fifth case of traumatic pneumolabyrinth simulating a canalolithiasis without previous history of temporal bone trauma and\/or middle ear surgery. A pneumolabyrinth should be suspected in case of patients presenting recurrent intractable PPV after ear trauma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489418819553","type":"journal-article","created":{"date-parts":[[2018,12,17]],"date-time":"2018-12-17T07:00:19Z","timestamp":1545030019000},"page":"352-356","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Pneumolabyrinth and Recurrent Paroxysmal Positional Vertigo After Traumatic Stapes Fracture"],"prefix":"10.1177","volume":"128","author":[{"given":"Francesco","family":"Comacchio","sequence":"first","affiliation":[{"name":"Regional Specialized Vertigo Center Veneto Region, Institute of Otolaryngology, Department of Neurosciences, Padova University, Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Guidetti","sequence":"additional","affiliation":[{"name":"Vertigo Center, Modenese Surgical Clinic, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Guidetti","sequence":"additional","affiliation":[{"name":"Vertigo Center, Modenese Surgical Clinic, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2927-5871","authenticated-orcid":false,"given":"Marta","family":"Mion","sequence":"additional","affiliation":[{"name":"Institute of Otolaryngology, Department of Neurosciences, Padova University, Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,12,17]]},"reference":[{"key":"bibr1-0003489418819553","doi-asserted-by":"publisher","DOI":"10.7874\/jao.2015.19.3.182"},{"key":"bibr2-0003489418819553","doi-asserted-by":"publisher","DOI":"10.2147\/IMCRJ.S66421"},{"key":"bibr3-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)00473-X"},{"key":"bibr4-0003489418819553","first-page":"374","volume":"5","author":"Mafee MF","year":"1984","journal-title":"Am J Otol"},{"key":"bibr5-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200409000-00014"},{"key":"bibr6-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20234"},{"key":"bibr7-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2010.12.010"},{"key":"bibr8-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318241bc91"},{"key":"bibr9-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2008.07.010"},{"key":"bibr10-0003489418819553","doi-asserted-by":"publisher","DOI":"10.3109\/00016489009122539"},{"key":"bibr11-0003489418819553","doi-asserted-by":"publisher","DOI":"10.3109\/00016489309135892"},{"key":"bibr12-0003489418819553","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2012.5.2.74"},{"key":"bibr13-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21439"},{"key":"bibr14-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1177\/014556130108001014"},{"key":"bibr15-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(03)00013-2"},{"key":"bibr16-0003489418819553","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31815a9f2b"},{"key":"bibr17-0003489418819553","doi-asserted-by":"publisher","DOI":"10.5402\/2012\/281248"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489418819553","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003489418819553","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489418819553","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:32:22Z","timestamp":1777375942000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003489418819553"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,17]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1177\/0003489418819553"],"URL":"https:\/\/doi.org\/10.1177\/0003489418819553","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,17]]}}}