Labyrinthine fistulae: a retrospective analysis.
A retrospective analysis has been conducted of 57 labyrinthine fistulae found in 375 cholesteatoma cases, primarily treated by removal of the matrix of the cholesteatoma and covering the fistula with a mixture of bone paste and fibrin glue. CT-scan with slices of 1 mm demonstrated the fistula in almost 90% of the cases. Eighteen percent of the ears were pre-operatively totally deaf. Large fistulae are riskier than smaller ones for post-operative perceptive losses, but even in very large and multiple fistulae the hearing may be preserved in most cases.
Vanclooster
C
C
Department Otorhinolaryngology, Head and Neck Surgery, KUL, Leuven, Belgium.
Debruyne
F
F
Vantrappen
G
G
Desloovere
C
C
Feenstra
L
L
D001843:Bone Cements / Q000627:therapeutic use; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000150:complications / Q000601:surgery; D015834:Cochlear Diseases / Q000209:etiology / Q000601:surgery; D003638:Deafness / Q000209:etiology / Q000601:surgery; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006309:Hearing; D006801:Humans; D007759:Labyrinth Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D008416:Mastoid / Q000601:surgery; D010579:Petrous Bone / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D012665:Semicircular Canals / Q000473:pathology; D014014:Tissue Adhesives / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D015837:Vestibular Diseases / Q000209:etiology / Q000601:surgery
D001843:Bone Cements; D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives