The author reports a case of chronic otitis with cholesteatoma
complicated by a fistula of the lateral semi-circular canal and a
stapedo-ovalar ankylosis, probably of otosclerotic origin, in which the
decision to take advantage of the fistula to create conditions similar to
those generally produced by labyrinthine fenestration allowed virtual
functional recovery of the patient's hearing. The case illustrates how, with
a ploy of this kind, certain intrinsically negative features may actually
turn out to be a blessing in disguise.
Get full access to this article
View all access options for this article.
References
1.
GormleyP.K.Surgical management of labyrinthine fistula with
cholesteatoma. The Journal of Laryngology and
Otology1986; 100:
1115–1123.
2.
ModugnoG.C., SaggeseD., CasolinoD.Il trattamento della fistola labirintica, in
PiroddaE. (ed): Patologia e chirurgia
dell'orecchio medio.Editrice Compositori,
Bologna, 1992;
259–268.
3.
PalvaR., RamsayH.Treatment of labyrinthine fistula.
Archives of Otolaryngology-Head & Neck Surgery1989; 115:
804–806.
4.
SannaM., ZiniC., BacciuS.Closed vs. open technique in the management of labyrinthine
fistula, in TosM., ThomsenJ., PeitersenE. (eds): Cholesteatoma and
mastoid surgery.Kugler & Ghedini, Amsterdam,
Berkeley, Milano, 1989;
1043–1045.
5.
GacekR.R.The surgical management of labyrinthine fistula in chronic otitis
media with cholesteatoma. Annals of Otology,
Rhinology and Laryngology1974; suppl 10:
3–19.
6.
SheenyJ.L., BrackmannD.E.Cholesteatoma surgery: management of the labyrinthine fistula: a
report of 97 cases. Laryngoscope1979; 89:
78–87.
7.
SannaM., ZiniC., BacciuS.Management of the labyrinthine fistula in cholesteatoma
surgery. ORL1984; 46:
165–172.
8.
SzpunarJ.Labyrinthine fistula and tympanoplasty.
Annals of Otology, Rhinology and Laryngology1989; 85:
291–298.
9.
BosatraA.Long-term evaluation of auditory and vestibular function after
surgical revision of cholesteatomatous labyrinthine
fistulas, in TosM., ThomseJ., PeitersenE. (eds): Cholesteatoma and
mastoid surgery, Kugler &
Ghedini, Amsterdam, Berkeley,
Milano, 1989:
1051–53.
10.
PiroddaA., TeseiF., RighiM.Il trattamento chirurgico della timpanosclerosi,
in PiroddaE. (ed): Patologia e chirurgia
dell'orecchio medio.Editrice Compositori,
Bologna, 1992;
269–273.
