Surgical Management of Labyrinthine Fistula as a Complication of Cholesteatoma | ||||
Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||||
Article 34, Volume 22, Issue 22, January 2021, Page 1-5 PDF (959.86 K) | ||||
Document Type: Case report | ||||
DOI: 10.21608/ejentas.2021.28975.1203 | ||||
View on SCiNiTO | ||||
Authors | ||||
Zuraini Mohammad Nasir 1; Muhammad Hariz Md Sarif2; Khadijah Mohd Nor 3 | ||||
1Otorhinolaryngology Unit, Surgery Department, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia. | ||||
2Otorhinolaryngology Department, Hospital Serdang, Jalan Puchong, 43000 Kajang, Selangor, Malaysia. | ||||
3Otorhinolaryngology Unit, Surgery Department, Faculty of Medicine and Health Sciences Universiti Putra Malaysia Serdang Malaysia | ||||
Abstract | ||||
Introduction: Labyrinthine fistula is an uncommon complication of chronic otitis media with cholesteatoma. Surgical management of labyrinthine fistula is challenging due to high risk of worsening labyrinthine function post-operatively. Case report: We report a case of a 25-year old female presented with one-week history vertigo, vomiting and fever with left intermittent otorrhea for the past one year. High resolution computed tomography (HRCT) of the temporal bone showed total opacification of left mastoid cavity and dehiscence of left lateral semicircular canal (LSCC). Left Modified Radical Mastoidectomy (MRM) was performed and cholesteatoma was found within mastoid and middle ear cavities with dehiscence of arch of left LSCC wall with no perilymph leak observed. Conclusion: The presence of vertigo with or without sensorineural hearing loss in patients with chronically discharging ear must raise suspicion of labyrinthine fistula. Definitive diagnosis can only be made intraoperatively. The current recommendation on management is open surgery with removal of cholesteatoma and sealing of fistula using soft tissue graft which provides favourable outcome. | ||||
Keywords | ||||
Cholesteatoma; chronic otitis media; labyrinthine fistula | ||||
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