Pressure-induced ocular torsion

Vincent B. Ostrowski*, Timothy C. Hain, Richard J. Wiet

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


We describe 3 patients within whom ocular torsion could be induced by application of positive air pressure to one external ear canal. In all cases, the superior pole of the eye rotated away from the stimulated ear when positive pressure was applied. The amplitude of torsion ranged from 3°to 16°. Exploratory tympanotomy was performed in all 3 patients. In 2 patients, round-window fistulas were found and repaired. In the third patient, no fistula was noted but the oval- and round-window areas were patched. There was no resolution of symptoms after surgery in any patient. Based on these cases, patients presenting with pressure-induced ocular torsion are unlikely to have resolution of their symptoms, even when a perilymphatic fistula is confirmed and repaired. We hypothesize that pressure-induced ocular torsion is caused by an irreversible juxtaposition of the utricle and stapes footplate.

Original languageEnglish (US)
Pages (from-to)646-649
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Issue number6
StatePublished - Jun 1997

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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