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Indian Journal of Otolaryngology and Head & Neck Surgery

Published in:

01-06-2017 | Original Article

Cholesteatoma Induced Labyrinthine Fistula: Is Aggressiveness in Removing Disease Justified?

Authors: Prem Sagar, K. Devaraja, Rajeev Kumar, Sumanth Bolu, Suresh C. Sharma

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 2/2017

Abstract

Issues of complete disease clearance and hearing preservation in cholesteatoma induced labyrinthine fistula cases has been discussed and updated in this article. Successful disease clearance and hearing preservation in a case of cholesteatoma induced isolated cochlear promontory fistula encouraged us to retrospectively analyse 13 more cases of cholesteatoma induced labyrinthine fistula who presented in emergency service as complicated chronic suppurtive otitis media. Pre-operatively nine patients experienced vertigo, two had profound sensori neural hearing loss and radiology was suggestive of labyrinthine fistula in 12 patients. Lateral semicircular canal was involved in 13 cases. In all cases cholesteatoma matrix was completely removed from the fistula site irrespective of the fistula size and hearing status. Hearing was preserved in 11 out of 12 patients. Gentle and meticulous removal of the matrix and careful repair of labyrinthine fistula delivers significant hearing preservation rate along with a safe and dry ear which avoids a second look surgery.

Prasad SC, Shin SH, Russo A, Di trapani G, Sanna M (2013) Current trends in the management of the complications of chronic otitis media with cholesteatoma. Curr Opin Otolaryngol Head Neck Surg 21(5):446–454CrossRefPubMed

Dornhoffer JL, Milewski C (1995) Management of the open labyrinth. Otolaryngol Head Neck Surg 112(3):410–414CrossRefPubMed

Copeland BJ, Buchman CA (2003) Management of labyrinthine fistulae in chronic ear surgery. Am J Otolaryngol 24(1):51–60CrossRefPubMed

Gamoletti R, Sanna M, Zini C, Taibah AK, Pasanisi E, Vassalli L (1990) Inner ear cholesteatoma and the preservation of cochlear function. J Laryngol Otol 104(12):945–948CrossRefPubMed

Quaranta A, Resta L, Santangelo A (1986) Otomastoid cholesteatoma in children: histopathological findings. Int J Pediatr Otorhinolaryngol 12(2):121–126CrossRefPubMed

Fuse T, Tada Y, Aoyagi M, Sugai Y (1996) CT detection of facial canal dehiscence and semicircular canal fistula: comparison with surgical findings. J Comput Assist Tomogr 20(2):221–224CrossRefPubMed

Kobayashi T, Sato T, Toshima M, Ishidoya M, Suetake M, Takasaka T (1995) Treatment of labyrinthine fistula with interruption of the semicircular canals. Arch Otolaryngol Head Neck Surg 121(4):469–475CrossRefPubMed

Cho CH, Yang HC, Aum JH, Kim YW, Hyoung Lee J (2014) Preservation of post operative bone conduction hearing after labyrinthine fistula repair in chronic otitis media with cholesteatoma: a review of 23 cases. Int Adv Otol 10(1):39–43CrossRef

Stephenson MF, Saliba I (2011) Prognostic indicators of hearing after complete resection of cholesteatoma causing a labyrinthine fistula. Eur Arch Otorhinolaryngol 268(12):1705–1711CrossRefPubMed

10.

Gocea A, Martinez-vidal B, Panuschka C, Epprecht P, Caballero M, Bernal-sprekelsen M (2012) Preserving bone conduction in patients with labyrinthine fistula. Eur Arch Otorhinolaryngol 269(4):1085–1090CrossRefPubMed

11.

Ostri B, Bak-Pedersen K (1989) Surgical management of labyrinthine fistulae in chronic otitis media with cholesteatoma by a one-stage closed technique. ORL 51(5):295–299CrossRefPubMed

12.

Abeele DV, Offeciers FE (1993) Management of labyrinthine fistulas in cholesteatoma. Acta Oto-Rhino-Laryngologica Belgica 47(3):311–321

13.

Portier F, Lescanne E, Racy E et al (2005) Studies of labyrinthine cholesteatoma-related fistulas: report of 22 cases. J Otolaryngol 34:1–6CrossRefPubMed

14.

Chen Z, Dongzhen, Yaqin W et al (2010) Surgical treatment of labyrinthine fistula caused by cholesteatoma with semicircular canal occlusion. Acta Oto-Laryngologica 130(1):75–78CrossRefPubMed

15.

Meyer A, Bouchetemblé P, Costentin B et al. (2015) Lateral semicircular canal fistula in cholesteatoma: diagnosis and management. European Archives of Oto-Rhino-Laryngol 273(8):2055–2063CrossRef

Title: Cholesteatoma Induced Labyrinthine Fistula: Is Aggressiveness in Removing Disease Justified?
Authors: Prem Sagar
K. Devaraja
Rajeev Kumar
Sumanth Bolu
Suresh C. Sharma
Publication date: 01-06-2017
Publisher: Springer India
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 2/2017
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-017-1072-y

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Cholesteatoma Induced Labyrinthine Fistula: Is Aggressiveness in Removing Disease Justified?

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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