Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-22T22:48:48.183Z Has data issue: false hasContentIssue false

Cochlear fistula found in a naturally healed tympanic cavity

Published online by Cambridge University Press:  29 June 2007

Mamoru Suzuki*
Affiliation:
Hiroshima, Japan
Isao Nishida
Affiliation:
Hiroshima, Japan
Katsuhiro Hirakawa
Affiliation:
Hiroshima, Japan
Masafumi Nikaido
Affiliation:
Hiroshima, Japan
Yasuo Harada
Affiliation:
Hiroshima, Japan
*
M. Suzuki, Department of Otolaryngology, Hiroshima University, School of Medicine, 1-2-3 Kasumi, Minamiku, Hiroshima, Japan734.

Abstract

A cochlear fistula found in a naturally healed mastoid cavity is reported. The patient is a 53-year-old Japanese woman who was complaining of unsteadiness. She hada long history of otorrhoea in childhood. Her tympanic and mastoid cavities were widely open and were covered by thin epithelium. The posterior wall of the ear canal was missing. She had no hearing in the ear but responded to electrical promontory testing. Exploratory surgery was indicated at which fistulae of the basal turn of the cochlea and the horizontal semicircular canal were found. These fistulae were sealed by pieces of bone andmuscle.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abramson, M., Harker, L. A., McCabe, B. F. (1974) Labyrinthine fistula complicating chronic suppurative otitis media. Archives of Otolaryngology, 100: 141142.CrossRefGoogle Scholar
Edwards, W. G. (1964) Some cases of fistula of the labyrinth. Journal of Laryngology and Otology, 78: 831836.CrossRefGoogle ScholarPubMed
Gacek, R. R. (1974) The surgical management of labyrinthine fistulae in chronic otitis media with cholesteatoma. Annals of Otology, Rhinology and Laryngology (Supplement), 10: 119.Google Scholar
Inafuku, S., Takimoto, I., Sugiyama, K., Asai, H. (1984) A cholesteatoma extended into the basal turn of cochlea. Jibi-Inkoka, 56: 10131018.Google Scholar
Palva, T., Karja, J., Palva, A. (1971) Opening ofthe labyrinth during chronic ear surgery. Archives of Otolaryngology, 93: 7587.CrossRefGoogle Scholar
Ritter, F. N. (1984) Chronic suppurative otitis media and the pathologic labyrinthine fistula. Laryngoscope, 80: 10251035.CrossRefGoogle Scholar
Sheehy, J. L., Brackmann, D. E. (1979) Cholesteatoma surgery: Management of the labyrinthine fistula—A report of 97 cases. Laryngoscope 89: 7887.CrossRefGoogle ScholarPubMed
Spoendlin, H. H., Gacek, R. R. (1963) Electronmicroscopicstudy of the efferent and afferent innervation of the organ of Corti in the cat. Annals of Otology, Rhinology and Laryngology, 72: 660686.CrossRefGoogle ScholarPubMed
Ylikoski, J., Belal, A. (1981) Human vestibular nerve morphology after labyrinthectomy. American Journal of Otolaryngology, 2: 8193.CrossRefGoogle ScholarPubMed