Surgical management of labyrinthine fistula in chronic otitis media with cholesteatoma

In Seok Moon, Moon Oh Kwon, Chong Yoon Park, Sung Jong Hong, Dae Bo Shim, Jin Kim, Won Sang Lee

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: To present the surgical outcomes of complete removal of the matrix of labyrinthine fistulas in a large series of middle ear cholesteatomas. Patients and methods: This is a retrospective study. We analyzed 38 of 778 patients who were operated on for cholesteatoma and were proved to have labyrinthine fistula from 1991 to 2007. For this study, a more aggressive strategy was adopted that compromised immediate total removal of the matrix, regardless of size. To evaluate the safety and efficacy of the procedure, pre and postoperative pure-tone audiometry were compared and the recurrence rate was analyzed. Relevant data from the literature using a wide array of strategies were compared with our results. Results: Only two patients suffered from postoperative hearing deterioration of bone conduction of more than 10. dB HL. There was no relationship between the size of labyrinthine fistulas and postoperative hearing deterioration. Recurrence of labyrinthine fistulas was not found. Conclusions: Total removal of the cholesteatoma matrix in one step is a safe and effective method for the treatment of labyrinthine fistulas.

Original languageEnglish
Pages (from-to)261-264
Number of pages4
JournalAuris Nasus Larynx
Volume39
Issue number3
DOIs
Publication statusPublished - 2012 Jun 1

Fingerprint

Cholesteatoma
Otitis Media
Fistula
Middle Ear Cholesteatoma
Bone Conduction
Pure-Tone Audiometry
Recurrence
Postoperative Care
Hearing
Retrospective Studies
Safety

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

Cite this

Moon, I. S., Kwon, M. O., Park, C. Y., Hong, S. J., Shim, D. B., Kim, J., & Lee, W. S. (2012). Surgical management of labyrinthine fistula in chronic otitis media with cholesteatoma. Auris Nasus Larynx, 39(3), 261-264. https://doi.org/10.1016/j.anl.2011.06.002
Moon, In Seok ; Kwon, Moon Oh ; Park, Chong Yoon ; Hong, Sung Jong ; Shim, Dae Bo ; Kim, Jin ; Lee, Won Sang. / Surgical management of labyrinthine fistula in chronic otitis media with cholesteatoma. In: Auris Nasus Larynx. 2012 ; Vol. 39, No. 3. pp. 261-264.
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Surgical management of labyrinthine fistula in chronic otitis media with cholesteatoma. / Moon, In Seok; Kwon, Moon Oh; Park, Chong Yoon; Hong, Sung Jong; Shim, Dae Bo; Kim, Jin; Lee, Won Sang.

In: Auris Nasus Larynx, Vol. 39, No. 3, 01.06.2012, p. 261-264.

Research output: Contribution to journalArticle

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N2 - Objective: To present the surgical outcomes of complete removal of the matrix of labyrinthine fistulas in a large series of middle ear cholesteatomas. Patients and methods: This is a retrospective study. We analyzed 38 of 778 patients who were operated on for cholesteatoma and were proved to have labyrinthine fistula from 1991 to 2007. For this study, a more aggressive strategy was adopted that compromised immediate total removal of the matrix, regardless of size. To evaluate the safety and efficacy of the procedure, pre and postoperative pure-tone audiometry were compared and the recurrence rate was analyzed. Relevant data from the literature using a wide array of strategies were compared with our results. Results: Only two patients suffered from postoperative hearing deterioration of bone conduction of more than 10. dB HL. There was no relationship between the size of labyrinthine fistulas and postoperative hearing deterioration. Recurrence of labyrinthine fistulas was not found. Conclusions: Total removal of the cholesteatoma matrix in one step is a safe and effective method for the treatment of labyrinthine fistulas.

AB - Objective: To present the surgical outcomes of complete removal of the matrix of labyrinthine fistulas in a large series of middle ear cholesteatomas. Patients and methods: This is a retrospective study. We analyzed 38 of 778 patients who were operated on for cholesteatoma and were proved to have labyrinthine fistula from 1991 to 2007. For this study, a more aggressive strategy was adopted that compromised immediate total removal of the matrix, regardless of size. To evaluate the safety and efficacy of the procedure, pre and postoperative pure-tone audiometry were compared and the recurrence rate was analyzed. Relevant data from the literature using a wide array of strategies were compared with our results. Results: Only two patients suffered from postoperative hearing deterioration of bone conduction of more than 10. dB HL. There was no relationship between the size of labyrinthine fistulas and postoperative hearing deterioration. Recurrence of labyrinthine fistulas was not found. Conclusions: Total removal of the cholesteatoma matrix in one step is a safe and effective method for the treatment of labyrinthine fistulas.

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