2022 / 03

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DOI: 10.47183/mes.2022.028

CLINICAL CASE

Pneumolabyrinth as a postoperative complication of stapedoplasty

Diab KhMA1,2, Daykhes NA1, Pashchinina OA1, Zukhba AG1, Kokhanyuk SV1, Pirogova NE2
About authors

1 National Medical Research Center for Otorlaryngology of Federal Medical Biological Agency, Moscow, Russia

2 Pirogov Russian National Research Medical University, Moscow, Russia

Correspondence should be addressed: Khassan M. A. Diab
Volokolamskoe shosse, 30, str. 2, Moscow, 123182, Russia; ur.liam@baidnasah

About paper

Author contribution: Diab KhMA — research design, surgical treatment of patients, manuscript editing; Daikhes NA — manuscript editing; Pashchinina OA, Zukhba AG — manuscript writing; Kokhanyuk SV, Pirogova NE — literature review.

Compliance with ethical standards: the study was approved by the Ethics Committee of the National Medical Research Center for Otorhinolaryngology of FMBA (protocol № 03/22 dated June 20, 2022). The patients submitted the informed consent to surgery and personal data processing.

Received: 2022-06-14 Accepted: 2022-07-05 Published online: 2022-08-16
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Fig. 1. PTA data of patient K., 32 years old, at admission (before revision tympanotomy)
Fig. 2. CT scan at admission, left temporal bone of patient K. aged 32; the arrows indicate the presence of air in the cochlea and vestibule
Fig. 3. PTA data of patient K., 32 years old, obtained in the short-term postoperative period
Fig. 4. CT scan performed during the short-term postperative period, left temporal bone of patient K. aged 32: the arrows indicate the cochlea and vestibule filled with liquid content
Fig. 5. PTA data of patient S., 37 years old, at admission
Fig. 6. CT scan performed during the early postperative period, right temporal bone of patient S. aged 37: the presence of air in the cochlea and vestibule
Fig. 7. A. The figure shows the stapedial prosthesis in the correct position that is fixed on the long process of the incus: the arrow marks the “open” fistula of the oval window, the “empty” vestibule. B. The figure shows the correct position of the autocartilage columella (sesamoid bone is located in the notch of the autocartilage distal end) at the final stage of the surgery
Fig. 8. PTA data of patient S., 37 years old, obtained in the short-term postoperative period
Fig. 9. CT scan performed during the short-term postperative period, left temporal bone of patient S. aged 37: the arrows indicate the cochlea and vestibule filled with liquid content