Academic literature on the topic 'Fistula, Labyrinthine'

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Journal articles on the topic "Fistula, Labyrinthine"

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Sone, Michihiko, Terukazu Mizuno, Hironao Otake, and Tsutomu Nakashima. "S206 – Efficacy of MRI for Management of Labyrinthine Fistulae." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (August 2008): P144. http://dx.doi.org/10.1016/j.otohns.2008.05.381.

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Objectives Surgical management of cholesteatomas with labyrinthine fistulae has been reported and several techniques have also been advocated, however, no uniform surgical technique can be adopted in all cases with fistulae. We examined the efficacy of MRI evaluation for surgical management of cholesteatoma with a labyrinthine fistula. Methods The case histories of 23 patients who had undergone surgery for middle ear cholesteatoma with a labyrinthine fistula were examined. Imaging analysis was performed using a 3-dimensional fluid-attenuated inversion recovery (3D-FLAIR) magnetic resonance imaging (MRI) sequence. Clinical symptoms, presence of fistulae, surgical management, and postoperative outcomes were compared between groups who had or had not undergone preoperative 3D-FLAIR MRI. Results Safe surgical management was achieved in the group without MRI evaluation. The group with MRI evaluation contained cases with larger fistulae and more severe clinical symptoms; however, MRI provided precise information concerning the degree of labyrinthitis, which enabled adequate surgical management and successful outcomes including improvement of sensorineural hearing loss in some cases. Conclusions Information provided by 3D-FLAIR images is valuable in the surgical management of cholesteatoma with a labyrinthine fistula, especially in cases with large fistulae and severe symptoms related to inner ear disturbances.
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Gormley, Peter K. "Surgical management of labyrinthine fistula with cholesteatoma." Journal of Laryngology & Otology 100, no. 10 (October 1986): 1115–23. http://dx.doi.org/10.1017/s0022215100100684.

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SummaryFrom 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.
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Lim, John, Anupriya Gangal, and Michael Brian Gluth. "Surgery for Cholesteatomatous Labyrinthine Fistula." Annals of Otology, Rhinology & Laryngology 126, no. 3 (January 10, 2017): 205–15. http://dx.doi.org/10.1177/0003489416683193.

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Objective: There is uncertainty regarding the ideal surgical management of cholesteatomatous labyrinthine fistulae. The objective was to review the published evidence to determine whether a difference exists in hearing outcome for cholesteatoma matrix removal or matrix exteriorization. Data Sources: Systematic MEDLINE and Web of Science searches identified publications describing hearing results after cholesteatoma matrix removal or matrix exteriorization. Review Methods: Three reviewers appraised the studies for quality, level of evidence, and extracted data. Fistula characteristics such as single-site, multisite, size, grade, and follow-up time were extracted for subanalyses, and when appropriate, data were pooled for statistical analysis. Results: Twenty-eight articles met inclusion criteria, and the level of evidence was judged no better than level 3b. There was no difference in hearing preservation detected between matrix removal and exteriorization (87% for matrix removal, 95% CI, 0.82-0.90; 95% for exteriorization, 95% CI, 0.85-0.98). An analysis of the individual cohort studies that compared these groups directly did not show a difference in calculated odds ratio (OR), 0.96 (95% CI, 0.66-1.40). Conclusion: The level of evidence on which to base surgical decision making related to cholesteatomatous labyrinthine fistula is poor, and the data do not demonstrate significant differences in hearing outcomes based on surgical technique.
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Palva, T., and H. Ramsay. "Treatment of Labyrinthine Fistula." Archives of Otolaryngology - Head and Neck Surgery 115, no. 7 (July 1, 1989): 804–6. http://dx.doi.org/10.1001/archotol.1989.01860310042019.

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Ueda, Y., T. Kurita, Y. Matsuda, S. Ito, and T. Nakashima. "Surgical treatment of labyrinthine fistula in patients with cholesteatoma." Journal of Laryngology & Otology 123, S31 (May 2009): 64–67. http://dx.doi.org/10.1017/s0022215109005118.

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AbstractLabyrinthine fistula is one of the most common complications of chronic otitis media associated with cholesteatoma. The optimal management of labyrinthine fistula, however, remains controversial. Between 1995 and 2005, labyrinthine fistulae were detected in 31 (6 per cent) patients in our institution. The canal wall down technique was used in 27 (87 per cent) patients. The cholesteatoma matrix was completely removed in the first stage in all patients. Bone dust and/or temporalis fascia was inserted to seal the fistula in 29 (94 per cent) patients. A post-operative hearing test was undertaken in 27 patients; seven (26 per cent) patients showed improved hearing, 17 (63 per cent) showed no change and three (11 per cent) showed a deterioration. The study findings indicate that there are various treatment strategies available for cholesteatoma, and that the treatment choice should be based on such criteria as auditory and vestibular function, the surgeon's ability and experience, and the location and size of the fistula.
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Gacek, Richard R. "Labyrinthine fistula: diagnosis and management." International Congress Series 1240 (October 2003): 23–32. http://dx.doi.org/10.1016/s0531-5131(03)01043-4.

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Sorrentino, Tommaso, Nader Nassif, Francesco Mancini, and Luca Redaelli DeZinis. "Cholesteatoma surgery with labyrinthine fistula." Journal of Laryngology & Otology 130, S3 (May 2016): S125. http://dx.doi.org/10.1017/s0022215116004382.

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Grewal, D. S., Bachi T. Hathiram, Ashwani Dwivedi, Lovneesh Kumar, Kaushal Sheth, and Shobhit Srivastava. "Labyrinthine fistula: a complication of chronic suppurative otitis media." Journal of Laryngology & Otology 117, no. 5 (May 2003): 353–57. http://dx.doi.org/10.1258/002221503321626384.

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A labyrinthine fistula is a frequent complication of long-standing unsafe chronic suppurative otitis media. It is characterized by a slowly progressive erosion of the bony labyrinth. In this paper we present our observations regarding the diagnosis and management in 50 patients with unsafe chronic suppurative otitis media with labyrinthine fistula.
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Rajashekhar, Rashmi P., and Vinod V. Shinde. "Management of labyrinthine fistula using Surdille flap." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 1 (December 22, 2017): 32. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20175516.

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<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Labyrinthine fistula (LF) is the most common intra-temporal complication of squamosal chronic otitis media represents an erosive loss of endochondral bone overlying the semicircular canals without loss of perilymph. Main treatment of LF is surgical. The aim of our study is to discuss its incidence and sex ratio. The main objective is to describe the audio-vestibular results after closure of labyrinthine fistula by our technique using surdille flap. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">234 patients with squamosal chronic otitis media presented to our institution in a period of 24 months. Out of 234 patients, 22 patients were having labyrinthine fistula. Eleven patients had fistula test positive. Rest eleven patients were found to have LF intra-operatively. All patients underwent canal wall down modified radical mastoidectomy (MRM). Treatment of LF was done surgically by using surdille flap in all the cases. Post operatively Audio-vestibular results of labyrinthine fistula surgery by our technique were studied. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The results show that the cholesteatoma matrix can be removed from the fistula. Removal of the fistula generally improves the vestibular symptoms. In all patients canal wall down procedure was done with surdille flap seal over LF. In our study, incidence of LF was 9.40% and none of the patients ended up with postoperative deafness. Hearing improved in 36.40% patients whereas it remained unchanged in rest of the cases. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Labyrinthine fistula, very commonly seen in the lateral semicircular canal has incidence of 5-10% reported in many studies. We demonstrated that open technique with removal of matrix and sealing with three layers may be a valuable choice for the surgical treatment of LF with little risk for cochlea-vestibular functions. Advantage of using surdille flap (sealing the fistula with three layers) is that it decreases the possibility of postoperative vertigo.</span></p>
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TANABE, Makito, Etsuo YAMAMOTO, Jun TSUJI, Shogo SHINOHARA, Yuki MUNETA, Tatsunori SAKAMOTO, and Tesu KIM. "Labyrinthine Fistula in Middle Ear Diseases." Practica Oto-Rhino-Laryngologica 93, no. 11 (2000): 911–15. http://dx.doi.org/10.5631/jibirin.93.911.

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Book chapters on the topic "Fistula, Labyrinthine"

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Woodson, Erika. "Labyrinthine Fistula." In Encyclopedia of Otolaryngology, Head and Neck Surgery, 1417. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-23499-6_200173.

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Debruyne, F. "Labyrinthine fistula and pre- and postoperative bone conduction." In Surgery and Pathology of the Middle Ear, 308–9. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-5002-3_81.

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Sanna, M. "Management of labyrinthine fistulae." In Surgery and Pathology of the Middle Ear, 86–92. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-5002-3_18.

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"Labyrinthine Fistula." In Middle Ear and Mastoid Microsurgery, edited by Mario Sanna, Hiroshi Sunose, Fernando Mancini, Alessandra Russo, and Abdelkader Taibah. Stuttgart: Georg Thieme Verlag, 2003. http://dx.doi.org/10.1055/b-0034-52374.

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"Labyrinthine Fistula." In Middle Ear and Mastoid Microsurgery, edited by Mario Sanna, Hiroshi Sunose, Fernando Mancini, Alessandra Russo, and Abdelkader Taibah. Stuttgart: Georg Thieme Verlag, 2003. http://dx.doi.org/10.1055/b-0034-52389.

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"Labyrinthine Fistula." In Middle Ear and Mastoid Microsurgery, edited by Mario Sanna, Hiroshi Sunose, Fernando Mancini, Alessandra Russo, Abdelkader Taibah, and Maurizio Falcioni. Stuttgart: Georg Thieme Verlag, 2012. http://dx.doi.org/10.1055/b-0034-74980.

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"Labyrinthine Fistula." In Middle Ear and Mastoid Microsurgery, edited by Mario Sanna, Hiroshi Sunose, Fernando Mancini, Alessandra Russo, Abdelkader Taibah, and Maurizio Falcioni. Stuttgart: Georg Thieme Verlag, 2012. http://dx.doi.org/10.1055/b-0034-74995.

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"9 Labyrinthine Fistula." In Otolaryngology Cases, edited by Myles L. Pensak, Catherine K. Hart, and Yash J. Patil. Stuttgart: Georg Thieme Verlag, 2018. http://dx.doi.org/10.1055/b-0038-160695.

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"78 Perilymph and Labyrinthine Fistula." In Key Topics in Otolaryngology, edited by Nick Roland, Duncan McRae, and Andrew W. McCombe. Stuttgart: Georg Thieme Verlag, 2019. http://dx.doi.org/10.1055/b-0039-166784.

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Conference papers on the topic "Fistula, Labyrinthine"

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Rouev, P. "Labyrinthine fistula by cholesteatoma surgery." In Abstract- und Posterband – 91. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Welche Qualität macht den Unterschied. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1711291.

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