{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:39:58Z","timestamp":1785328798373,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,1,9]],"date-time":"2018-01-09T00:00:00Z","timestamp":1515456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["T32 DC\u2010012280"],"award-info":[{"award-number":["T32 DC\u2010012280"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>(1) Evaluate changes in subjective symptoms in patients following transmastoid canal plugging for superior semicircular canal dehiscence (SSCD) syndrome. (2) Quantify changes in hearing in patients who have undergone transmastoid canal plugging for SSCD syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single tertiary care institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>We retrospectively reviewed patients with SSCD who underwent repair with canal plugging via a transmastoid approach between January 2012 and January 2017. Symptom severity was assessed prospectively (autophony, sound\/pressure\u2010induced vertigo, disequilibrium, aural fullness, and pulsatile tinnitus) and after surgery. Pure\u2010tone and speech audiometry were measured before and after surgery. Two\u2010sided Wilcoxon rank\u2010sum tests were used to evaluate changes in subjective symptoms and audiometric outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventeen patients (19 ears) met inclusion criteria. The superior canal was successfully plugged via the transmastoid approach in all cases. Patients reported a statistically significant improvement in autophony, vertigo, aural fullness, and pulsatile tinnitus (<jats:italic>P<\/jats:italic> &lt;. 01), without significant improvement in disequilibrium rating (<jats:italic>P<\/jats:italic> =. 06). There were no changes noted in pure\u2010tone average or word recognition score; however, there was a statistically significant improvement in air\u2010bone gap at 250\u00a0Hz of 10.9\u00a0dB (<jats:italic>P<\/jats:italic> =. 04) with 12.9\u2010dB improvement in air conduction thresholds (<jats:italic>P<\/jats:italic> =. 02) and no difference (0.9\u00a0dB, <jats:italic>P<\/jats:italic> =. 9) in bone conduction thresholds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our study, patients with SSCD demonstrated excellent hearing outcomes and resolution of most otologic symptoms after surgical repair. Transmastoid canal plugging, which has been described to date only in smaller case series, is a safe and effective alternative to the traditional middle cranial fossa approach.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599817751092","type":"journal-article","created":{"date-parts":[[2018,1,9]],"date-time":"2018-01-09T08:13:16Z","timestamp":1515485596000},"page":"534-540","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Effectiveness of Transmastoid Plugging for Semicircular Canal Dehiscence Syndrome"],"prefix":"10.1002","volume":"158","author":[{"given":"Renee M.","family":"Banakis Hartl","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Cass","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Colorado 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