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Surgical management of labyrinthine fistula in chronic otitis media with cholesteatoma

Authors
 In Seok Moon  ;  Moon Oh Kwon  ;  Chong Yoon Park  ;  Sung-Jong Hong  ;  Dae Bo Shim  ;  Jin Kim  ;  Won-Sang Lee 
Citation
 AURIS NASUS LARYNX, Vol.39(3) : 261-264, 2012 
Journal Title
 AURIS NASUS LARYNX 
ISSN
 0385-8146 
Issue Date
2012
MeSH
Adolescent ; Adult ; Aged ; Audiometry, Pure-Tone ; Cholesteatoma, Middle Ear/surgery* ; Chronic Disease ; Female ; Fistula/surgery* ; Follow-Up Studies ; Hearing Loss, Conductive ; Humans ; Labyrinth Diseases/surgery* ; Male ; Middle Aged ; Otitis Media/surgery* ; Otologic Surgical Procedures/methods* ; Postoperative Complications ; Retrospective Studies ; Treatment Outcome
Keywords
Cholesteatoma ; Labyrinthine fistula ; Ear surgery
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 10dB 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.
Full Text
http://www.sciencedirect.com/science/article/pii/S0385814611001763
DOI
21862259
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Moon, In Seok(문인석) ORCID logo https://orcid.org/0000-0002-3951-5074
Lee, Won Sang(이원상)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89678
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