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Surgical management of labyrinthine fistula with cholesteatoma

Published online by Cambridge University Press:  29 June 2007

Peter K. Gormley
Peter K. Gormley*
Affiliation:
Bellfast
*
Peter K. Gormley, FRCS, FRCSI, DLO, Eye and Ear Clinic, Royal Victoria Hospital, Grosvenor Road, Belfast, Northern IrelandBT12 6BA.
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Summary

From 684 cases of ear surgery for cholesteatoma performed by one surgeon, 35 had labyrinthine fistulae (incidence 5.1 per cent). Of these fistulae, 79 percent involved the lateral semicircular canal only; the other sites involved were the other semicircular canals and the cochlea. The fistula test was positive in 54 per cent of cases overall, but in 80 per cent with an extended site fistula (ESF). Three surgical approaches were employed sequentially—staged combined approach tympanoplasty (CAT), open cavity tympanoplasty and attico-antrotomy. Surgically-induced deafness occurred in 3.3 per cent. All surgical groups showed similar hearing results, except for less conductive deafness in the CAT group. Surgical management is discussed with reference to current theories of the erosive effects of cholesteatoma.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 10 , October 1986 , pp. 1115 - 1123
Copyright
Copyright © JLO (1984) Limited 1986

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