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Post-operative vestibular and equilibrium evaluation in patients with cholesteatoma-induced labyrinthine fistulas

Published online by Cambridge University Press:  20 April 2023

Q Peng ,
K Liu ,
M Wang ,
C Zhou ,
S Zhang ,
Y Liu  and
B Xie Open the ORCID record for B Xie [Opens in a new window]
Q Peng
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, China Jiangxi Biomedical Engineering Research Center for Auditory Research, Nanchang, China
K Liu
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, China Jiangxi Biomedical Engineering Research Center for Auditory Research, Nanchang, China
M Wang
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, China Jiangxi Biomedical Engineering Research Center for Auditory Research, Nanchang, China
C Zhou
Affiliation:
Department of Otolaryngology, Shangrao Municipal Hospital, Shangrao, China
S Zhang
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, China Jiangxi Biomedical Engineering Research Center for Auditory Research, Nanchang, China
Y Liu
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, China Jiangxi Biomedical Engineering Research Center for Auditory Research, Nanchang, China
B Xie*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, China Jiangxi Biomedical Engineering Research Center for Auditory Research, Nanchang, China
*
Corresponding author: Bingbin Xie; Email: xiebb2013@163.com
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Abstract

Objective

This study aimed to compare the pre- and post-operative vestibular and equilibrium functions of patients with cholesteatoma-induced labyrinthine fistulas who underwent different management methods.

Methods

Data from 49 patients with cholesteatoma-induced labyrinthine fistulas who underwent one of three surgical procedures were retrospectively analysed. The three management options were fistula repair, obliteration and canal occlusion.

Results

Patients underwent fistula repair (n = 8), canal occlusion (n = 18) or obliteration procedures (n = 23). Patients in the fistula repair and canal occlusion groups suffered from post-operative vertigo and imbalance, which persisted for longer than in those in the obliteration group. Despite receiving different management strategies, all patients achieved complete recovery of equilibrium functions through persistent efforts in rehabilitation exercises.

Conclusion

Complete removal of the cholesteatoma matrix overlying the fistula is reliable for preventing iatrogenic hearing deterioration due to unremitting labyrinthitis. Thus, among the three fistula treatments, obliteration is the optimal method for preserving post-operative vestibular functions.

Keywords

Labyrinthine fistulacholesteatomavertigoequilibrium rehabilitationhearing loss
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 1 , January 2024 , pp. 16 - 21
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Prof B Xie takes responsibility for the integrity of the content of the paper

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