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Arquivos Internacionais de Otorrinolaringologia 2010; 14(02): 239-242
DOI: 10.7162/S1809-48722010000200015
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

“Gusher” in Stapedotomy - A Case Report

“Gusher” em Estapedotomia - Relato de Caso
Carlos Eduardo Fernandes Soares de Melo
*   Graduate Medicine.Resident Otolaryngology HSPM-SP.
,
Thiago Chianca Ferreira
*   Graduate Medicine.Resident Otolaryngology HSPM-SP.
,
Teresa Cristina Mendes Higino
**   Former ENT resident HSPM-SP.ENT.
,
Mayko Soares Maia
**   Former ENT resident HSPM-SP.ENT.
,
Maria Carmela Cundari Boccalini
***   ENT. Medical Assistant Department of Otolaryngology HSPM-SP and Hospital CEMA.
› Author Affiliations
Further Information

Publication History

17 March 2009

24 May 2009

Publication Date:
13 February 2014 (online)

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Summary

Introduction: “Gusher” is a rare phenomenon that consists in sudden exit of cerebrospinal fluid during the course of stapedotomy or stapedectomy.

Objective: To report a case of “gusher” during a stapedotomy and discuss the correlation with X-linked congenital syndrome.

Case Report: Patient NT, 49 years old, Caucasian female with history of right unilateral progressive hearing loss for 18 years with worsening in the last 02 years with a diagnosis of otosclerosis. It was performed stapedotomy with sudden exit of cerebrospinal fluid after platinotomia, being carried out sealing the oval window fat ear lobe.

Final Comments: This complication should be considered in cases of otosclerosis, where the preoperative diagnosis of perilymphatic hypertension is more difficult for X-linked congenital syndrome.

Resumo

Introdução: “Gusher” é um fenômeno raro que consiste em súbita saída de líquido céfalo-raquidiano durante a realização da estapedotomia ou estapedectomia.

Objetivo: Relatar um caso de “gusher” durante uma estapedotomia e discutir a correlação com a síndrome congênita ligada ao X.

Relato do Caso: Paciente NT, 49 anos de idade, sexo feminino, branca, com história de hipoacusia progressiva unilateral direita há 18 anos com piora nos últimos 02 anos com diagnóstico de otosclerose. Realizado estapedotomia com saída súbita de líquido céfalo-raquidiano após platinotomia, sendo realizado selamento da janela oval com gordura de lóbulo de orelha.

Comentários Finais: Esta complicação deve ser considerada em casos de otosclerose, onde o diagnóstico pré-operatório de hipertensão perilinfática é mais difícil em relação a síndrome congênita ligada ao X.

Keywords

stapes surgery - intraoperative complications - otosclerosis

Palavras-chave

cirurgia do estribo - complicações intra-operatórias - otosclerose
 

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