Table 2. Cases 4 and 5.
Posttraumatic CSF leak | ||
---|---|---|
Case | 4 | 5 |
Age, y/sex | 55/F | 31/F |
History | Successful left stapedotomy 10 y earlier, barotrauma, sudden hearing loss and vertigo | Head injury without temporal bone fracture: sudden hearing loss and vertigo |
Preoperative symptoms | Left anacusis Positional vertigo |
Left anacusis Orthostatic headache Positional vertigo |
Radiologic evaluation | Left pneumolabyrinth | Left stapediovestibular dislocation |
Preoperative audiological test | Left anacusis | Left anacusis |
Preoperative vestibular test | Complete left vestibular areflexia | Complete left vestibular areflexia |
Site of fistula | Oval window at the level of the stapedotomy (prosthesis dislocation) | Oval window (stapes dislocation) |
Failed treatment | Oval window closure with fat through endaural approach | Oval window closure with fat and temporalis fascia through endaural approach |
Postoperative complications | None | None |
Postoperative symptoms | Disappeared at 40 d | Disappeared at 55 d |
Follow-up | 2 y | 4 y |
Abbreviation: CSF, cerebrospinal fluid.