Simultaneous True Stapes Fixation and Bilateral Bony Dehiscence Between the Internal Carotid Artery and the Apex of the Cochlea: The Ultimate Pitfall
Otology and Neurotology, 08/12/2011
Neyt P et al. – A 63–year–old man presented with a clinical and audiologic bilateral stapes fixation due to otosclerosis. A possible dehiscence of a semicircular canal was duly ruled out preoperatively by high–resolution computed tomographic scanning. The stapes fixation was treated lege artis by laser–assisted stapedotomy and subsequent interposition of an àWengen titanium clip stapes prosthesis, but the mixed hearing loss persisted. Eventually, a dehiscence between the apical turn of the cochlea and the internal carotid artery was identified. Thereafter, the patient was adequately helped with a Bone–Anchored Hearing Aid.





