Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-25T04:22:49.479Z Has data issue: false hasContentIssue false

Hearing preservation despite labyrinthectomy for resection of giant cholesteatoma with middle fossa extension

Published online by Cambridge University Press:  29 June 2007

F. Rapado*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, UK
N. Fergie
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, UK
R. T. Ramsden
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, UK
*
Address for correspondence: Mr F. Rapado, F.R.C.S., Department of Otolaryngology and Head and Neck Surgery, Royal Preston Hospital, Sharoe Green Lane North, Fulwood, Preston, PR2 9HT. Fax: 01772 710074

Abstract

A case is described of an extensive acquired cholesteatoma of the middle ear cleft which had invaded the middle cranial fossa and produced a mass effect on the temporal lobe. It had also extended into the labyrinth without causing elevation in the bone conduction threshold. Furthermore, even after total bony labyrinthectomy, there was very little elevation in these thresholds. The literature relating to hearing preservation after labyrinthectomy is reviewed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

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

Bagger-Sjoback, D. (1984) Inner ear cholesteatoma with preserved hearing. Journal of Laryngology and Otology 98: 11311134.CrossRefGoogle ScholarPubMed
Becker, T. S., Eisenberg, L. S., Luxford, W. M., House, W. F. (1984) Labyrinthine ossification secondary to childhood bacterial meningitis: implications for cochlear implant surgery. American Journal of Neuroradiology 5: 739741.Google ScholarPubMed
Bumstead, R. M., Sade, J., Dolan, K. D., McCabe, B. F. (1977) Preservation of cochlear function after extensive labyrinthine destruction. Annals of Otology, Rhinology and Laryngology 86: 131137.CrossRefGoogle Scholar
Canalis, R. F., Gussen, R., Abemayor, E. (1987) Surgical trauma to the lateral semicircular canal with preservation of hearing. Laryngoscope 97: 575581.CrossRefGoogle Scholar
Jahrsdoerfer, R. A., Johns, M. E., Cantrell, R. W. (1978) Labyrhinthine trauma during ear surgery. Laryngoscope 88: 15891595.CrossRefGoogle Scholar
Johnson, M. H., Hasenstab, M. S., Seicshnaydre, M. A., Williams, G. H. (1995) CT of postmeningitic deafness: observations and predictive value for cochlear implants in children. American Journal of Neuroradiology 16: 103109.Google ScholarPubMed
McElveen, J. T., Wilkins, R. H., Erwin, A. C., Wolford, R. D. (1991) Modifying the translabyrinthine approach to preserve hearing during acoustic tumour surgery. Journal of Laryngology and Otology 105: 3437.CrossRefGoogle ScholarPubMed
Muren, C., Bredberg, G. (1997) Postmeningitic labyrinthine ossification primarily affecting the semicircular canals. European Radiology 7: 208213.CrossRefGoogle ScholarPubMed
Palva, T., Karja, J. (1976) Immediate and short term complications of chronic ear surgery. Archives of Otolaryngology – Head and Neck Surgery 102: 137139.CrossRefGoogle ScholarPubMed
Palva, T., Johnsson, L.-G. (1986) Preservation of hearing after removal of the membranous canal with a cholesteatoma. Archives of Otolaryngology – Head and Neck Surgery 112: 982985.CrossRefGoogle ScholarPubMed
Phelps, P. D. (1969) Preservation of hearing in the labyrinth invaded by cholesteatoma. Journal of Laryngology and Otology 83: 11111114.CrossRefGoogle ScholarPubMed
Thomsen, J., Barfoed, C., Fleckenstein, P. (1980) Congenital cholesteatoma: preservation of cochlear function after extensive labyrinthine destruction. Journal of Laryngology and Otology 94: 263268.CrossRefGoogle ScholarPubMed