Gusher: An Unpredictable Challenge in Stapedectomy

Introduction: Stapedectomy is a routine procedure done for otosclerosis. Generally imaging is not done as a part of workup. Peri lymphatic gusher is one of the rare intraoperative complication seen during the procedure. Case Report: Here we are reporting a 19-year-old boy who was diagnosed to have left ear otosclerosis, underwent stapedectomy under local anaesthesia. He had intra operative peri lymphatic gusher which was managed intra operatively. During post-operative period, imaging was done and patient was found to have enlarged vestibular aquaduct of left side. Discussion: This is one of the rarest complications of the procedure. Such complications may be predicted preoperatively by a preoperative HRCT temporal bone. HRCT temporal bone should be considered during the routine workup of patients with conductive hearing loss.