Cochlear-facial dehiscence - A newly described entity

Danielle M. Blake, Senja Tomovic, Alejandro Vazquez, Huey Jen Lee, Robert W. Jyung

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Dehiscence of the cochlear otic capsule has recently been described as a pathologic entity. We describe two cases of cochlear-facial dehiscence, which are the first reported: a 69-year-old male who complained of hearing loss, autophony, and pulsatile tinnitus and a 41-year-old female who complained of left-sided hearing loss, pulsatile tinnitus, and vertigo. In both, computed tomography (CT) showed bony dehiscence between the facial nerve and cochlea. Cochlear-facial dehiscence is another example of otic capsule dehiscence that produces symptoms of third-window lesions. When patients present with symptoms of third-window lesions and CT does not show superior canal dehiscence, cochlear-facial dehiscence should be considered. Laryngoscope, 124:283-289, 2014

Original languageEnglish (US)
Pages (from-to)283-289
Number of pages7
Issue number1
StatePublished - Jan 2014

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology


  • Dehiscence
  • autophony
  • cochlea
  • facial nerve
  • hearing loss
  • otic capsule
  • pulsatile tinnitus


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