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Otology & Neurotology. 40(4):441–445, APR 2019

DOI: 10.1097/MAO.0000000000002175,  PMID: 30870351
Issn Print: Model.IssnPrint
Publication Date: 2019/04/01

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Clinical Features of Ears With Otosclerosis

and Endolymphatic Hydrops
Fei Wang;Tadao Yoshida;Satofumi Sugimoto;Mariko Shimono;Masaaki Teranishi;Shinji
Naganawa;Michihiko Sone;

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Abstract
Objective:
Endolymphatic hydrops (EH) has been reported in ears with otosclerosis. The objective of this
study was to investigate the clinical features of ears with otosclerosis and EH on magnetic
resonance imaging (MRI) and identify predictors for the presence of EH.
Study Design:
Retrospective study.
Setting:
University hospital.
Materials and Methods:
Forty-six ears from 37 patients with otosclerosis were included in the present study.
Interventions:
The subjects were divided into three groups, those with no, mild, or significant EH, based on 3-
T MRI with intravenous injection of gadolinium. Hearing levels and the extent of otosclerotic
lesions graded based on the computed tomography (CT) findings were compared among the
groups. Moreover, to examine the vascular activity of the disease, intraoperative measurements
of blood flow were also evaluated.
Main Outcome Measures:
Imaging, hearing levels, and blood flow values.
Results:
The overall rate of EH was 58.7% (27 of 46 ears); cochlear EH (52.2%) was more frequent than
vestibular EH (26.1%). Average thresholds in ears with significant EH were significantly higher at
several frequencies, both on air and bone conduction, than those with no or mild EH.
Significant EH was more frequently observed in ears with advanced stages on CT than in those
without advanced stages. The values of blood flow in the area anterior to the oval window were
higher in some ears with EH than in ears without EH.
Conclusion:
EH was frequently present in ears with otosclerosis, especially those with severe hearing loss
or advanced disease on CT.

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