{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:07:35Z","timestamp":1777561655274,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T00:00:00Z","timestamp":1605052800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>Otic capsule dehiscences create a pathological third window in the inner ear that results in a dissipation of the acoustic energy consequent to the lowered impedance. Superior semicircular canal dehiscence (SSCD) was identified by Minor et al in 1998 as a syndrome leading to vertigo and inner ear conductive hearing loss. The authors also reported the relation between the dehiscence and pressure- or sound-induced vertigo (Tullio\u2019s phenomenon). Prevalence rates of SSCD in anatomical studies range from 0.4% to 0.7% with a majority of patients being asymptomatic. The observed association with other temporal bone dehiscences, as well as the propensity toward a bilateral or contralateral \u201cnear dehiscence,\u201d raises the question of whether a specific local bone demineralization or systemic mechanisms could be considered. The present report regard a case of a patient with a previous episode of meningitis, with a concomitant bilateral SSCD and tegmen tympani dehiscence from the side of meningitis. The patient was affected by dizziness, left moderate conductive hearing loss, and pressure\/sound-induced vertigo. Because of disabling vestibular symptoms, the patient underwent surgical treatment. A middle cranial fossa approach allowed to reach both dehiscences on the symptomatic side, where bone wax and fascia were used for repair. At 6 months from the procedure, hearing was preserved, and the vestibular symptoms disappeared.<\/jats:p>","DOI":"10.1177\/0145561320973782","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T14:01:08Z","timestamp":1605103268000},"page":"NP324-NP328","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Concomitant Dehiscences of the Temporal Bone: A Case-Based Study"],"prefix":"10.1177","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0740-0384","authenticated-orcid":false,"given":"Maurizio","family":"Barbara","sequence":"first","affiliation":[{"name":"NESMOS Department, ENT Clinic, Sant\u2019Andrea University Hospital, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerio","family":"Margani","sequence":"additional","affiliation":[{"name":"NESMOS Department, ENT Clinic, Sant\u2019Andrea University Hospital, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Voltattorni","sequence":"additional","affiliation":[{"name":"NESMOS Department, ENT Clinic, Sant\u2019Andrea University Hospital, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simonetta","family":"Monini","sequence":"additional","affiliation":[{"name":"NESMOS Department, ENT Clinic, Sant\u2019Andrea University Hospital, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edoardo","family":"Covelli","sequence":"additional","affiliation":[{"name":"NESMOS Department, ENT Clinic, Sant\u2019Andrea University Hospital, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,11]]},"reference":[{"key":"bibr1-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2018.1563719"},{"key":"bibr2-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318161ab24"},{"key":"bibr3-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814557470"},{"key":"bibr4-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31824f9969"},{"key":"bibr5-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6815-12-8"},{"key":"bibr6-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.2.137"},{"key":"bibr7-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818769875"},{"key":"bibr8-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1177\/000348949009901102"},{"key":"bibr9-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.3.249"},{"key":"bibr10-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2016.11.013"},{"key":"bibr11-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2009.05.038"},{"key":"bibr12-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000253284.40995.d8"},{"issue":"4","key":"bibr13-0145561320973782","first-page":"709","volume":"40","author":"Berning AW","year":"2019","journal-title":"AJNR Am J Neuroradiol"},{"key":"bibr14-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2262010897"},{"key":"bibr15-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002576"},{"key":"bibr16-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1688-6"},{"key":"bibr17-0145561320973782","doi-asserted-by":"publisher","DOI":"10.3109\/00016486509127025"},{"key":"bibr18-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100094834"},{"key":"bibr19-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(00)80068-X"},{"key":"bibr20-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2015.09.006"},{"key":"bibr21-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109991411"},{"issue":"6","key":"bibr22-0145561320973782","first-page":"317","volume":"30","author":"Manzari L","year":"2010","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"bibr23-0145561320973782","author":"Whyte J","year":"2019","journal-title":"Folia Morphol (Warsz)"},{"key":"bibr24-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1177\/014556131509400802"},{"key":"bibr25-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31824bae10"},{"key":"bibr26-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182634e27"},{"key":"bibr27-0145561320973782","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20510"},{"issue":"2","key":"bibr28-0145561320973782","volume-title":"Otogenic meningitis: a comparison of diagnostic performance of surgery and radiology. 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