Abstract
The objective of this retrospective study was to present the authors' experience on the management of labyrinthine fistula secondary to cholesteatoma. 695 patients, who underwent tympanoplasty for cholesteatoma, in a University Hospital between 1993 and 2013 were reviewed, to select only those with labyrinthine fistulas. 42 patients (6%) had cholesteatoma complicated by fistula of the lateral semicircular canal (LSCC). The following data points were collected: symptoms, pre- and postoperative clinical signs, surgeon, CT scan diagnosis, fistula type, surgical technique, preoperative vestibular function and audiometric outcomes. Most frequent symptoms were unspecific, such as otorrhea, hearing loss and dizziness. However, preoperative high-resolution computed tomography predicted fistula in 88 %. Using the Dornhoffer and Milewski classification, 16 cases (38 %) were identified as stage 1, 22 (52 %) as stage II, and 4 (10 %) as stage III. The choice between open or closed surgical procedure was independent of the type of fistulae. The cholesteatoma matrix was completely removed from the fistula and immediately covered by autogenous material. In eight patients (19 %), the canal was drilled with a diamond burr before sealing with au...Continue Reading
References
Jan 1, 1979·The Laryngoscope·J L Sheehy, D E Brackmann
Aug 1, 1978·Clinical Otolaryngology and Allied Sciences·P Freeman
Jan 1, 1991·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·S C ParisierM H Weiss
Jul 1, 1989·Archives of Otolaryngology--head & Neck Surgery·T Palva, H Ramsay
Jul 1, 1970·The Laryngoscope·F N Ritter
Jan 1, 1984·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·M SannaG Jemmi
Sep 1, 1995·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Apr 1, 1995·Archives of Otolaryngology--head & Neck Surgery·T KobayashiT Takasaka
Mar 1, 1995·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J L Dornhoffer, C Milewski
Jul 9, 1998·Acta Oto-laryngologica·J W Chung, T H Yoon
Jan 29, 2000·The American Journal of Otology·M C GersdorffP Bosch
May 4, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·A Soda-Merhy, M A Betancourt-Suárez
Oct 5, 2001·Acta Oto-laryngologica·E KvestadI W Mair
Nov 20, 2002·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Nobuhiro HakubaKiyofumi Gyo
Feb 13, 2003·American Journal of Otolaryngology·Benjamin J Copeland, Craig A Buchman
Jun 22, 2005·The Journal of Otolaryngology·Frédéric PortierSerge Bobin
May 17, 2008·Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Société d'oto-laryngologie des hôpitaux de Paris·M BertrandJ-P Marie
Jan 8, 2009·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·G MagliuloL Giuzio
Mar 3, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nicola QuarantaAntonio Quaranta
May 23, 2009·The Journal of Laryngology and Otology·Y UedaT Nakashima
Dec 22, 2010·Acta Oto-laryngologica. Supplementum·Norio YamamotoJuichi Ito
Mar 10, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Marie-France Stephenson, Issam Saliba
Aug 25, 2011·Auris, Nasus, Larynx·In Seok MoonWon-Sang Lee
Sep 15, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Anamaria GoceaManuel Bernal-Sprekelsen
Feb 2, 2012·The Laryngoscope·Michihiko SoneTsutomu Nakashima
Apr 26, 2012·The Annals of Otology, Rhinology, and Laryngology·Ryoukichi IkedaToshinori Sato
May 30, 2013·Auris, Nasus, Larynx·Hirokazu KatsuraMasafumi Sakagami
Jul 3, 2013·Acta Oto-laryngologica·Chul Ho JangYong Beom Cho
Sep 14, 2013·The Annals of Otology, Rhinology, and Laryngology·Silviu AlbuGregorio Babighian
Jun 18, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Tadashi KitaharaHidenori Inohara
Citations
Feb 7, 2018·The Annals of Otology, Rhinology, and Laryngology·Yoon Chan RahJune Choi
Aug 18, 2020·The Laryngoscope·Masaomi MotegiHiromi Kojima
Apr 8, 2017·Case Reports in Otolaryngology·Ricardo D'AlboraNicolas Perez-Fernandez
Aug 12, 2017·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·S GeerseE van Spronsen
Jun 14, 2017·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Prem SagarSuresh C Sharma
Dec 4, 2019·Vestnik otorinolaringologii·A I KryukovT G Martirosyan
Feb 23, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Tommaso CaccoGiorgio Peretti
Jun 19, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Anna BartochowskaWojciech Gawęcki
Sep 21, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·K ThangaveluK Reimann
Oct 6, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Domenico VillariMarco Bonali
Jun 27, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Daisuke YamauchiYukio Katori