Third window lesions of the inner ear: A pictorial review

Am J Otolaryngol. 2024 Mar-Apr;45(2):104192. doi: 10.1016/j.amjoto.2023.104192. Epub 2023 Dec 13.

Abstract

Purpose: Radiographic review of pathologies that associate with third window syndrome.

Methods: Case series and literature review.

Results: Eight unique third window conditions are described and illustrated, including superior, lateral, and posterior semicircular canal dehiscence; carotid-cochlear, facial-cochlear, and internal auditory canal-cochlear dehiscence, labyrinthine erosion from endolymphatic sac tumor, and enlarged vestibular aqueduct.

Conclusion: The present study highlights the characteristic imaging features and symptoms to differentiate third window pathologies for expedient diagnosis and management planning.

Keywords: EVA; Superior semicircular canal dehiscence; Third window.

Publication types

  • Review

MeSH terms

  • Cochlea / diagnostic imaging
  • Cochlea / pathology
  • Hearing Loss, Sensorineural* / pathology
  • Humans
  • Labyrinth Diseases* / diagnostic imaging
  • Labyrinth Diseases* / pathology
  • Semicircular Canal Dehiscence*
  • Semicircular Canals / diagnostic imaging
  • Semicircular Canals / pathology
  • Vestibular Aqueduct* / pathology