This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

William O. Collins, MD; Craig A. Buchman, MD
University of Miami School of Medicine, Miami, Fla (Dr Collins), and University of North Carolina at Chapel Hill (Dr Buchman)

Arch Otolaryngol Head Neck Surg. 2002;128:457-460.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 46-YEAR-OLD WOMAN with a history of hypertension, hypercalcemia, and end-stage renal disease requiring hemodialysis presented with bilateral ear pressure and dizziness. Her medical and surgical histories were also significant for 3 neck explorations with parathyroidectomy for multigland hyperplasia. On initial examination, she was diagnosed as having classic right posterior semicircular canal benign paroxysmal positional vertigo. The Epley canalith repositioning maneuver was initially performed with her right ear down, and immediate resolution of her vertigo and nystagmus was observed. Audiometric testing performed at her initial visit revealed moderate conductive hearing loss in both ears.

She later underwent a right middle ear exploration, with the preoperative diagnosis of otosclerosis. Intraoperative examination, however, revealed lateral chain fixation of the malleus and incus, with normal stapes footplate mobility, requiring the placement of a partial ossicular replacement prosthesis.

The patient's condition improved substantially after the procedure, . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?