Author/Editor		Rebol, Janez
Title		The unilateral stapes gusher
Type		članek
Source		Wien Klin Wochenschr
Vol. and No.		Letnik 116, št. Suppl 2
Publication year		2004
Volume		str. 90-2
Language		eng
Abstract		A stapes gusher is an alarming situation occurring during stapes surgery for mixed hearing loss. It is characterized by the sudden profuse flow of cerebrospinal fluid in the middle ear and external ear canal after opening the vestibule of the inner ear. An adult patient with unilateral stapes gusher is described; he was operated on both ears with a good hearing result on both sides. The stapes on the side with the cerebrospinal fluid leak was malformed, especially in the posterior crus - a finding which may suggest the possibility of a stapes gusher. The small-hole stapedotomy is a safe technique when dealing with a profuse cerebrospinal fluid leak, and it enables the closure of the leak with additional tamponade of the oval niche and the achievement of a good hearing result.
Descriptors		OTOSCLEROSIS STAPES SURGERY AUDIOMETRY PERILYMPH ADULT HEARING DISORDERS