Van der Hoeve Syndrome and Stapes Surgery: Case Reports and a Review -
DOI:
https://doi.org/10.12970/2308-7978.2013.01.01.3Keywords:
Osteogenesis imperfecta, hearing loss, otosclerosis, blue sclera, stapes surgery.Abstract
Osteogenesis imperfecta (OI) is a group of genetic disorders that mainly affect the bones. People with this condition have bones that break easily, often from mild trauma or with no apparent cause. There are at least eight recognized forms of osteogenesis imperfecta, designated type I through type VIII. The classic triad of conductive hearing loss, spontaneous fracture and blue sclera is known as Van der Hoeve Syndrome. The aim of the study is to evaluate some case reports with Van der Hoeve Syndrome treated with stapes surgery and to make a review of this syndrome. In the period from 2001 to 2009 4 Caucasian patients affected with Van der Hoeve Syndrome underwent stapes surgery. Totally 6 ears were treated. According to our results, even though the number of patients is limited, stapes surgery in patients with Van der Hoeve syndrome has to be considered a valuable technique in improving hearing if performed by an experienced surgeon. Stapes surgery is successful in resolving the conductive hearing loss in OI patients, even in the long term. Moreover it could reduce the progression of sensorineural hearing impairment. The improvement seems to last in time, even though more studies are necessary.References
[1] Sillence DO, Senn A, Danks DM. Genetic heterogeneity in osteogenesis imperfecta. J Med Genet 1979; 16: 101-16. http://dx.doi.org/10.1136/jmg.16.2.101
[2] Sykes B, Ogilvie D, Wordsworth P, et al. Consistent linkage of dominantly inherited osteogenesis imperfecta to the type I collagen loci: COL1A1 and COL1A2. Am J Hum Genet 1990; 46: 293-307.
[3] Byers PH. Osteogenesis imperfecta: perspectives and opportunities. Curr Opin Pediatr 2000; 12(6): 603-9. http://dx.doi.org/10.1097/00008480-200012000-00016
[4] Alkadhi H, Rissmann D, Kollias SS. Osteogenesis imperfect of the temporal bone: CT and MR Imaging in Van der Hoevede Klein Syndrome. AJNR 2004; 25: 1106-109.
[5] Dighton A. Four Generations of Blue Sclerotics. Ophthalnmoscope 1912; X: 188.
[6] Van der Hoeve und De Klein. Blaue Sklera, Knochenbruchigkeit und Schwerhorigkeit; Stenvers, ibid., Nederlandsch. Tijdschrift voor Geneesknnde 1917; I: 1003.
[7] Bergstrom L. Osteogenesis imperfecta: otologic and maxillofacial aspects. Laryngoscope 1977; 87(9 pt 2 suppl 6): 1-42.
[8] Garretsen AJTM. Osteogenesis imperfecta Type I. Otological and clinical aspects. Thesis. Nijmen, the Netherlands: University of Nijmegen 1997.
[9] Pedersen U. Osteogenesis imperfecta clinical features, hearing loss and stapedectomy. Biochemical, osteodensitometric, corneometric and histological aspects in comparisom with otosclerosis. Acta Otolaringol Suppl 1985; 415: 1-36.
[10] Riedner ED, Levin LS, Holliday MJ. Hearing patterns in dominant osteogenesis imperfecta. Arch Otolaryngol 1980; 106: 737-40. http://dx.doi.org/10.1001/archotol.1980.00790360015006
[11] Haltman F, Kornfeld M. Osteogenesis imperfecta and otosclerosis: new investigations. Ann Otol Rhinol Laryngol 1967; 76: 89-104.
[12] Langman AW, Jakler RK, Sooy FA. Stapedectomy: long-term hearing results. Laryngoscope 1991; 101: 810-14. http://dx.doi.org/10.1288/00005537-199108000-00002
[13] Tos M, Fish U. Osteogenesis imperfecta. In: Surgical solutions for conductive hearing loss. Stuttgart, Germany: Thieme 2000; 247-261.
[14] Garretsen T, Cremers CW. Ear surgery in osteogenesis imperfecta. Clinical findings and short-term and long-term results. Arch Otolaryngol Head Neck Surg 1990; 116: 317- 23. http://dx.doi.org/10.1001/archotol.1990.01870030081014
[15] Saphiro JR, Pikus A, Weiss J, Rowe DW. Hearing and middle ear function in osteogenesis imperfecta: JAMA 1982; 247: 2129-26.
[16] Marion MS. Osteogenesis imperfecta. Am J Otolaryngol 1993; 14: 137-38. http://dx.doi.org/10.1016/0196-0709(93)90054-B
[17] Heimert TL, Lin DDM, Yousem DM. Case 48: osteogenesis imperfecta of the temporal bone. Radiology 2002; 224: 166- 70. http://dx.doi.org/10.1148/radiol.2241001707
[18] Tabor EK, Curtin HD, Hirsch BE, May M. Osteogenesis imperfecta tarda: appearance of the temporal bone at CT. Radiology 1990; 175: 181-83.
[19] Kuurila K, Pynnonen S, Grenman R. Stapes surgery in osteogenesis imperfecta in Finland. Ann Otol Rhinol Laryngol 2004; 113 (3pt 1): 187-93.
[20] van der Rijt AJ, Cremers CW. Staoes surgery in osteogenesis imperfecta: results of a new series. Otol Neurotol 2003; 24: 717-22. http://dx.doi.org/10.1097/00129492-200309000-00004