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Sudden Hearing Loss Associated With Cochlear Membrane Rupture: Two Human Temporal Bone Reports

Sudden Hearing Loss Associated With Cochlear Membrane Rupture: Two Human Temporal Bone Reports Abstract • Cochlear membrane ruptures occurred in the left temporal bones of two patients—one was a result of barotrauma caused by flying and was associated with sudden deafness, tinnitus, and some vertigo and the second occurred in a patient with profound deafness in a previously normal-hearing ear. Both occurred as ruptures of Reissner's membrane at the junction of the ductus reuniens with the cecum vestibulare portion of the cochlear duct. With healing, a balloon-like structure formed from the rupture site into the adjacent vestibule, resulting in a secondarily ruptured saccule duct in one case and in collapse of the saccule in the second case. Left-sided preponderance of such ruptures and the vulnerability of the ductus reuniens junction with the cochlea are described. (Arch Otolaryngol 1981;107:598-600) References 1. Fee GA: Traumatic perilymphatic fistulas . Arch Otolaryngol 1968;88:477-480.Crossref 2. Pullen FW: Round window membrane rupture: A cause of sudden deafness . Trans Am Acad Ophthalmol Otolaryngol 1972;76:1444-1450. 3. Freeman P, Tonkin J, Edmonds C: Rupture of the round window membrane in inner ear barotrauma . Arch Otolaryngol 1974;99:437-442.Crossref 4. Pullen FW, Rosenberg GJ, Cabeza CH: Sudden hearing loss in divers and fliers . Laryngoscope 1979;89:1373-1377.Crossref 5. Goodhill V: Sudden deafness and round window rupture . Laryngoscope 1971;81:1462-1474.Crossref 6. Stroud MH, Calcaterra TC: Spontaneous perilymph fistulas . Laryngoscope 1970;80:479-487.Crossref 7. Simmons FB: Theory of membrane breaks in sudden hearing loss . Arch Otolaryngol 1968;88:41-48.Crossref 8. Mattox DE, Simmons FB: Natural history of sudden sensorineural hearing loss . Ann Otol Rhinol Laryngol 1977;86:463-480. 9. Browder J, Kaplan HA: Cerebral dural sinuses and their tributaries , in Wilkins RH (ed): American Lecture Series . Springfield, Ill, Charles C Thomas Publisher, 1976, pp 74-75. 10. Goodhill V, Harris I, Brockman S, et al: Sudden deafness and labyrinthine window ruptures . Ann Otol Rhinol Laryngol 1973;82:2-12. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Sudden Hearing Loss Associated With Cochlear Membrane Rupture: Two Human Temporal Bone Reports

Archives of Otolaryngology , Volume 107 (10) – Oct 1, 1981

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Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1981.00790460010004
Publisher site
See Article on Publisher Site

Abstract

Abstract • Cochlear membrane ruptures occurred in the left temporal bones of two patients—one was a result of barotrauma caused by flying and was associated with sudden deafness, tinnitus, and some vertigo and the second occurred in a patient with profound deafness in a previously normal-hearing ear. Both occurred as ruptures of Reissner's membrane at the junction of the ductus reuniens with the cecum vestibulare portion of the cochlear duct. With healing, a balloon-like structure formed from the rupture site into the adjacent vestibule, resulting in a secondarily ruptured saccule duct in one case and in collapse of the saccule in the second case. Left-sided preponderance of such ruptures and the vulnerability of the ductus reuniens junction with the cochlea are described. (Arch Otolaryngol 1981;107:598-600) References 1. Fee GA: Traumatic perilymphatic fistulas . Arch Otolaryngol 1968;88:477-480.Crossref 2. Pullen FW: Round window membrane rupture: A cause of sudden deafness . Trans Am Acad Ophthalmol Otolaryngol 1972;76:1444-1450. 3. Freeman P, Tonkin J, Edmonds C: Rupture of the round window membrane in inner ear barotrauma . Arch Otolaryngol 1974;99:437-442.Crossref 4. Pullen FW, Rosenberg GJ, Cabeza CH: Sudden hearing loss in divers and fliers . Laryngoscope 1979;89:1373-1377.Crossref 5. Goodhill V: Sudden deafness and round window rupture . Laryngoscope 1971;81:1462-1474.Crossref 6. Stroud MH, Calcaterra TC: Spontaneous perilymph fistulas . Laryngoscope 1970;80:479-487.Crossref 7. Simmons FB: Theory of membrane breaks in sudden hearing loss . Arch Otolaryngol 1968;88:41-48.Crossref 8. Mattox DE, Simmons FB: Natural history of sudden sensorineural hearing loss . Ann Otol Rhinol Laryngol 1977;86:463-480. 9. Browder J, Kaplan HA: Cerebral dural sinuses and their tributaries , in Wilkins RH (ed): American Lecture Series . Springfield, Ill, Charles C Thomas Publisher, 1976, pp 74-75. 10. Goodhill V, Harris I, Brockman S, et al: Sudden deafness and labyrinthine window ruptures . Ann Otol Rhinol Laryngol 1973;82:2-12.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Oct 1, 1981

References