Imaging of labyrinthine fistula after repair with bone pate

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Objectives/Hypothesis: To demonstrate imaging of labyrinthine fistula due to cholesteatoma and illustrate outcome following repair with bone pate. Study Design: Retrospective review. Methods: Patients with labyrinthine fistula due to cholesteatoma were identified, and pre- and postoperative imaging was assessed. Method of repair was recorded. The fistula site was examined for patency and bone density after repair. Results: Twenty-nine fistulae were seen in a cohort of 375 cholesteatoma cases (8%). Preoperative computed tomography (CT) imaging for fistula detection showed sensitivity of 96% and specificity of 90%. The lateral semicircular canal was the most common site of dehiscence occurring in all cases. Facial nerve dehiscence is observed in 91% of fistula cases and stapes erosion in 69%. Severe hearing loss was present preoperatively in four (14%) cases. Bone pate was used to repair the fistula with CT-documented restoration of the otic capsule in 11/13 cases with postoperative imaging. When bone pate was not used, the otic capsule defect persisted. Conclusions: Spontaneous repair of the otic capsule following treatment of cholesteatoma is expected to be an uncommon occurrence. Repair of the fistula with bone can result in long-lasting restoration of the otic capsule. Level of Evidence: 4. Laryngoscope, 128:1643–1648, 2018.

Original languageEnglish (US)
Pages (from-to)1643-1648
Number of pages6
JournalLaryngoscope
Volume128
Issue number7
DOIs
StatePublished - Jul 2018

Keywords

  • bone pate
  • Cholesteatoma
  • computed tomography
  • density
  • imaging
  • labyrinthine fistula
  • lateral canal fistula
  • management
  • otic capsule

ASJC Scopus subject areas

  • Otorhinolaryngology

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