Enlarged Vestibular Aqueduct

Enlarged Vestibular Aqueduct Treatment in London

Progressive hearing loss or balance issues in children or adults? An enlarged vestibular aqueduct is a common congenital inner ear anomaly that is long-term manageable and usually not a sign of acute danger. At Harley AVM, our team provides expert monitoring and support. Seek urgent AVM evaluation for sudden severe hearing drop, trauma-related worsening, meningitis signs, or neurological changes. These concerning symptoms need immediate attention.

Inner-Ear Fluid Pathway Enlargement

An Overview of Enlarged Vestibular Aqueduct

An enlarged vestibular aqueduct is a structural inner-ear condition where the bony canal that carries the endolymphatic duct is wider than usual. This altered anatomy affects the regulation of inner-ear fluid, which, in turn, can influence hearing and balance. The condition is often present from early life, though symptoms may appear gradually or after a minor head injury.

People commonly experience fluctuating or progressive hearing loss, sometimes with imbalance or sound sensitivity. Symptoms may worsen after infection, pressure changes, or trauma. Not everyone with an enlarged aqueduct develops difficulties, but recognition matters, as management focuses on hearing monitoring, risk reduction, and long-term balance and hearing preservation strategies.

OUR REVIEW

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Discover how our expert care has transformed the lives of individuals struggling with hearing and balance issues. These testimonials reflect our unwavering commitment to clinical excellence and patient satisfaction.
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Soydan Osman profile picture
Soydan Osman
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I was seen by audiologist and Dr Arun, they were attentive, caring and took time to listen and adaptations were made throughout the appointment to support my anxiety and claustrophobia. This made a significant difference and genuinely helped me through the audiology testing. I gave an explanation of my current symptoms to Dr Arun he displayed great listening, compassion and understanding. The treatment I received on the day has greatly improved my symptoms, the one reassuring thing is any follow up is required is knowing that I will be in safe hands. I received my clinic letter promptly. After care queries handled by the admin team was exceptional, prompt and helpful. Overall the service was impeccable.
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Diana Granados
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I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.
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erika thomazi
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Great positive experience!
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Carol Bunyan
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I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.
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Ged Robinson
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Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.
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Adrian Lowe profile picture
Adrian Lowe
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I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!
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Evan profile picture
Evan
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Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.
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shahram zarafshan
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Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.
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Vasile Baltac profile picture
Vasile Baltac
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I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.

Pinpointing the Cause

Diagnosing Enlarged Vestibular Aqueduct

When to Get Checked

You should get assessed if hearing or balance symptoms fluctuate, worsen after minor head injury, infection, or pressure changes, or if hearing loss progresses unexpectedly. New imbalance, sound sensitivity, or difficulty stabilising hearing should prompt audiovestibular review.

You should seek urgent assessment if sudden hearing loss occurs, balance symptoms escalate rapidly, or problems appear alongside neurological symptoms, severe headache, or repeated falls. Early evaluation helps clarify risk, exclude alternative causes, and guide safe, long-term management.

Diagnosing Enlarged Vestibular Aqueduct At Harley Audiovestibular Clinic

How We Assess Enlarged Vestibular Aqueduct

At Harley Audiovestibular Clinic, our audiovestibular clinicians' evaluation starts with a detailed history and documentation of progressive hearing loss, balance issues, family history, and symptom triggers to identify patterns of enlarged vestibular aqueducts. We prioritise unhurried time with our consultants to ensure a personalised understanding of your journey.

We proceed with audiometry, genetic screening if indicated, and high-resolution temporal bone CT imaging to confirm aqueduct enlargement precisely. Our senior clinicians collaborate to interpret these results with precision and empathy. This specialised pathway distinguishes us, enabling proactive monitoring and management plans that safeguard hearing and stability effectively. At Harley AVM, we tailor every step to your needs for optimal outcomes.

Audiologist performing a tympanometry test on an elderly patient at Harley Street AVM London
Harley Street AVM clinic reception and waiting area for audiovestibular patients

Major Insurance Providers Accepted

Insurance partner health insurance accepted at Harley AVM (9)
WPA
AXA PPP health insurance accepted at Harley AVM
Cigna
Insurance partner health insurance accepted at Harley AVM (12)
Healix
Bupa
Allianz

DIAGNOSTIC TESTS

Specialist Tests to Assess Hearing, Balance and Inner Ear Health

Harley Street Specialists in Hearing, Dizziness & Balance

Specialist Care for Enlarged Vestibular Aqueduct

Every Enlarged Vestibular Aqueduct case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.

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