Cholesteatoma Induced Labyrinthine Fistula

Is Aggressiveness in Removing Disease Justified?

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

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)204-209
Number of pages6
JournalIndian Journal of Otolaryngology and Head and Neck Surgery
Volume69
Issue number2
DOIs
Publication statusPublished - 01-06-2017

Fingerprint

Cholesteatoma
Fistula
Hearing
Second-Look Surgery
Semicircular Canals
Cochlea
Vertigo
Otitis Media
Hearing Loss
Radiology
Ear
Emergencies

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

Cite this

@article{70efeb9207ec4758a7e6dc4da12af053,
title = "Cholesteatoma Induced Labyrinthine Fistula: Is Aggressiveness in Removing Disease Justified?",
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.",
author = "Prem Sagar and K. Devaraja and Rajeev Kumar and Sumanth Bolu and Sharma, {Suresh C.}",
year = "2017",
month = "6",
day = "1",
doi = "10.1007/s12070-017-1072-y",
language = "English",
volume = "69",
pages = "204--209",
journal = "Indian Journal of Otolaryngology and Head and Neck Surgery",
issn = "2231-3796",
publisher = "Springer India",
number = "2",

}

Cholesteatoma Induced Labyrinthine Fistula : Is Aggressiveness in Removing Disease Justified? / Sagar, Prem; Devaraja, K.; Kumar, Rajeev; Bolu, Sumanth; Sharma, Suresh C.

In: Indian Journal of Otolaryngology and Head and Neck Surgery, Vol. 69, No. 2, 01.06.2017, p. 204-209.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cholesteatoma Induced Labyrinthine Fistula

T2 - Is Aggressiveness in Removing Disease Justified?

AU - Sagar, Prem

AU - Devaraja, K.

AU - Kumar, Rajeev

AU - Bolu, Sumanth

AU - Sharma, Suresh C.

PY - 2017/6/1

Y1 - 2017/6/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85009827056&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009827056&partnerID=8YFLogxK

U2 - 10.1007/s12070-017-1072-y

DO - 10.1007/s12070-017-1072-y

M3 - Article

VL - 69

SP - 204

EP - 209

JO - Indian Journal of Otolaryngology and Head and Neck Surgery

JF - Indian Journal of Otolaryngology and Head and Neck Surgery

SN - 2231-3796

IS - 2

ER -