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Traumatic stapes fracture with rotation and subluxation into the vestibule and pneumolabyrinth
Author(s) -
Ederies Ash,
Yuen HengWai,
Chen Joseph M.,
Aviv Richard I.,
Symons Sean P.
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20234
Subject(s) - stapes , vestibule , footplate , subluxation , medicine , vestibular system , oval window , anatomy , orthodontics , audiology , middle ear , physics , alternative medicine , pathology , thermodynamics
A 41‐year‐old man presented after forceful penetrating ear injury. He had incapacitating vestibular symptoms. Computed tomography revealed pneumolabyrinth with a fractured stapes that was >90° rotated and subluxed into the vestibule, such that the crura and capitulum could be seen in the vestibule. Surgical repair reversed the vestibular symptoms, but there was persistent hearing loss. Stapes fractures are unusual and rarely associated with subluxation into the vestibule. When this does occur, there is usually simple footplate depression. This case demonstrates a rare stapes fracture with pneumolabyrinth and >90 degrees stapes rotation, then subluxation into the vestibule. Laryngoscope, 2009