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    SubjectsENTIatrogenic Post-Stapedectomy SNHL - Dead Ear
    ClinicalENT

    Iatrogenic Post-Stapedectomy SNHL - Dead Ear

    1 MCQs in ENT for NEET PG

    1 Medium
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    medium

    A 45-year-old woman undergoes stapedectomy for otosclerosis. Preoperatively, she has moderate conductive hearing loss with a Carhart notch at 2000 Hz and an air-bone gap of 35–40 dB. Forty-eight hours postoperatively, she develops sudden profound unilateral sensorineural hearing loss, severe vertigo, nausea, and spontaneous nystagmus beating toward the contralateral ear. Postoperative audiometry reveals thresholds >90 dB across all frequencies in the operated ear with absent word recognition. The contralateral ear remains at baseline. The audiometric pattern marked **A** in the diagram represents this complication. Which of the following is the most likely mechanism of this iatrogenic injury?

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