Abstract
INTRODUCTION: The condition superior semi-circular canal dehiscence was first described by Minor et al. in 1998. PRESENTATION OF CASE: We describe a novel surgical approach to the management of superior semicircular canal dehiscence. Our surgical technique involves a transmastoid rather than middle cranial fossa approach to the superior semicircular canal. CONCLUSION: We conclude that the transmastoid approach, if anatomically feasible, carries significant advantages compared to middle cranial fossa craniotomy approach for the management of superior semicircular canal dehiscence.