Journal Article

Use of TissuePatchDural™ in the closure of an iatrogenic fistula following posterior semicircular canal occlusion surgery for intractable benign paroxysmal positional vertigo

Jaswinder Singh Sandhu, Esmond Carr and Peter Rea

in Journal of Surgical Case Reports

Published on behalf of JSCR Publishing Ltd

Volume 2010, issue 8, pages 8-8
Published in print October 2010 |
Published online October 2010 | e-ISSN: 2042-8812 | DOI: http://dx.doi.org/10.1093/jscr/2010.8.8

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Benign paroxysmal positional vertigo (BPPV) is a common disorder caused by the dislocation of otoconia most commonly into the posterior canal. The primary symptoms are brief episodes of head-position related vertigo which may be accompanied by nausea and disequilibrium. BPPV is usually managed conservatively with excellent results, however in a small number of cases the symptoms can become persistent and incapacitating. The most common treatment in such cases involves the surgical occlusion of the canal. This procedure carries a small risk of post operative perilymph leakage via an iatrogenic fistula.

In this paper we outline a case of a patient who developed a perilymph leak following occlusion surgery for intractable BPPV. We describe a novel surgical method that was used to close the fistula using a synthetic polymer based patch (TissuePatchDural90™), which has not been applied in the field of otology previously.

Journal Article.  960 words.  Illustrated.

Subjects: Oral and Maxillofacial Surgery

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