Gusher syndrome is a profuse otoliquorrhea , a rare [1] but dangerous complication of manipulation of the stapes [2] .
It comes from the English word “gusher”, which means “powerful oil fountain”.
Gusher syndrome can occur due to increased pressure of perilymph in the inner ear . For example, due to a congenital anomaly, when there is no bone wall between the bottom of the inner auditory canal and the basal curl of the cochlea (fistula between the perilymphatic space of the inner ear and the subarachnoid space of the brain) [3] , the clinical picture masks the fixation of the stapes [1] . Patients are operated on for otosclerosis , with simultaneous stapedectomy , gusher syndrome may occur. Surgeons recommend that you pre-perforate the base of the stapes, so that, with abundant flow of fluid from the inner ear, it is possible to stop the operation in time and close the small defect.
Notes
- ↑ 1 2 Melo CE, Ferreira T.S., Higino TC, Maia MS, Boccalini M.S. Gusher in Stapedotomy - A Case Report . International Archives of Otorhinolaryngology . 2010; 14 (2) p. 239-242;
- ↑ Cassano P., Decandia N., Cassano M., Fiorella ML, Ettore G. Perilymphatic gusher in stapedectomy: demonstration of a fistula of internal auditory canal . Acta Otorhinolaryngol Ital . 2003, 23 (2): pp. 116-119.
- ↑ Diseases of the Ear, Throat, Nose in Children : A National Guide: A Brief Edition / Ed. M.R. Bogomilsky, V.R. Chistyakova. - M .: GEOTAR-Media, 2015. p. 95-96;
Links
- Dr. med. Goesta Schimanski on gasher syndrome . "An interdisciplinary approach to the treatment of respiratory and ear diseases." All-Russian forum with international participation. NCCO FMBA. December 17, 2015