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Exploratory tympanotomy in sudden sensorineural hearing loss for the identification of a perilymphatic fistula – retrospective analysis and review of the literature

Published online by Cambridge University Press:  19 June 2020

S Heilen ,
C P Lang ,
A Warnecke ,
T Lenarz  and
M Durisin
S Heilen
Affiliation:
Department of Otolaryngology, Hannover Medical School, Hannover, Germany
C P Lang
Affiliation:
Department of Otolaryngology, Hannover Medical School, Hannover, Germany
A Warnecke
Affiliation:
Department of Otolaryngology, Hannover Medical School, Hannover, Germany Cluster of Excellence of the German Research Foundation (Deutsche Forschungsgemeinschaft; ‘DFG’), Hearing4all, Hannover, Germany
T Lenarz
Affiliation:
Department of Otolaryngology, Hannover Medical School, Hannover, Germany Cluster of Excellence of the German Research Foundation (Deutsche Forschungsgemeinschaft; ‘DFG’), Hearing4all, Hannover, Germany
M Durisin*
Affiliation:
Department of Otolaryngology, Hannover Medical School, Hannover, Germany
*
Author for correspondence: Dr Martin Durisin, Carl-Neuberg-Str. 1, 30625Hannover, Germany E-mail: [email protected] Fax: +49 511 532 5558
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Abstract

Objective

The diagnostic value of exploratory tympanotomy in sudden sensorineural hearing loss remains controversial. This study and review were performed to identify the incidence of perilymphatic fistula in patients with sudden sensorineural hearing loss. The effectiveness of tympanotomy for sealing of the cochlear windows in cases with perilymphatic fistula was evaluated.

Methods

A search in common databases was performed. Overall, 5034 studies were retrieved. Further, a retrospective analysis on 90 patients was performed.

Results

Eight publications dealing with tympanotomy in patients with sudden sensorineural hearing loss were identified. In 90 patients diagnosed with sudden sensorineural hearing loss and undergoing exploratory tympanotomy, 10 patients (11 per cent) were identified with a perilymphatic fistula, and this corresponds to the results obtained from our review (13.6 per cent).

Conclusion

There was no significant improvement after exploratory tympanotomy and sealing of the membranes for patients with a definite perilymphatic fistula.

Keywords

Hearing LossSensorineural Hearing LossSudden Hearing LossCochlear AqueductFistula
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 6 , June 2020 , pp. 501 - 508
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr M Durisin takes responsibility for the integrity of the content of the paper

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