One-Stage Complete Resection of Cholesteatoma With Labyrinthine Fistula: Hearing Changes and Clinical Outcomes
DC Field | Value | Language |
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dc.contributor.author | Rah, Yoon Chan | - |
dc.contributor.author | Han, Won Gue | - |
dc.contributor.author | Joo, Jae Woo | - |
dc.contributor.author | Nam, Kuk Jin | - |
dc.contributor.author | Rhee, Jihye | - |
dc.contributor.author | Song, Jae Jun | - |
dc.contributor.author | Im, Gi Jung | - |
dc.contributor.author | Chae, Sung Won | - |
dc.contributor.author | Jung, Hak Hyun | - |
dc.contributor.author | Choi, June | - |
dc.date.accessioned | 2021-09-02T13:36:44Z | - |
dc.date.available | 2021-09-02T13:36:44Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2018-04 | - |
dc.identifier.issn | 0003-4894 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/76662 | - |
dc.description.abstract | Objectives: To evaluate long-term hearing changes and surgical outcomes for middle ear cholesteatoma with labyrinthine fistula following complete surgical removal of the cholesteatoma matrix. Methods: Consecutive samples of 43 patients who underwent 1-stage complete resection of the cholesteatoma matrix overlying a labyrinthine fistula were obtained. Immediate and long-term hearing changes were analyzed in association with fistula size. Accuracy of various diagnostic examinations was assessed. Results: Immediately postsurgery, the average bone conduction threshold (43.34 dB) did not differ significantly from the preoperative value (36.66 dB, P = .083). There were also minimal changes thereafter (45.63 dB) without recurrent case over an average follow-up time of 38.3 months (range, 17-69 months). More than 10 dB hearing loss was found in 7 patients with a case of intraoperative perilymph leakage (2.3%), although 5 of them had had preoperative air conduction threshold above 90 dB. Their fistulas were significantly larger than those of patients without hearing loss (P = .027). Conclusion: Although caution is required for total removal of a large fistula, owing to increased risk of postoperative hearing deterioration, 1-stage complete resection of cholesteatoma matrix on labyrinthine fistula could be effective in disease control and long-term hearing preservation. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SAGE PUBLICATIONS INC | - |
dc.subject | CHRONIC OTITIS-MEDIA | - |
dc.subject | CHRONIC EAR SURGERY | - |
dc.subject | BONE-CONDUCTION | - |
dc.subject | SURGICAL-TREATMENT | - |
dc.subject | CANAL DEHISCENCE | - |
dc.subject | MANAGEMENT | - |
dc.subject | MASTOIDECTOMY | - |
dc.title | One-Stage Complete Resection of Cholesteatoma With Labyrinthine Fistula: Hearing Changes and Clinical Outcomes | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Rah, Yoon Chan | - |
dc.contributor.affiliatedAuthor | Song, Jae Jun | - |
dc.contributor.affiliatedAuthor | Im, Gi Jung | - |
dc.contributor.affiliatedAuthor | Chae, Sung Won | - |
dc.contributor.affiliatedAuthor | Jung, Hak Hyun | - |
dc.contributor.affiliatedAuthor | Choi, June | - |
dc.identifier.doi | 10.1177/0003489418755407 | - |
dc.identifier.scopusid | 2-s2.0-85044077916 | - |
dc.identifier.wosid | 000429752600005 | - |
dc.identifier.bibliographicCitation | ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, v.127, no.4, pp.241 - 248 | - |
dc.relation.isPartOf | ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | - |
dc.citation.title | ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | - |
dc.citation.volume | 127 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 241 | - |
dc.citation.endPage | 248 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Otorhinolaryngology | - |
dc.relation.journalWebOfScienceCategory | Otorhinolaryngology | - |
dc.subject.keywordPlus | CHRONIC OTITIS-MEDIA | - |
dc.subject.keywordPlus | CHRONIC EAR SURGERY | - |
dc.subject.keywordPlus | BONE-CONDUCTION | - |
dc.subject.keywordPlus | SURGICAL-TREATMENT | - |
dc.subject.keywordPlus | CANAL DEHISCENCE | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | MASTOIDECTOMY | - |
dc.subject.keywordAuthor | labyrinthine fistula | - |
dc.subject.keywordAuthor | cholesteatoma | - |
dc.subject.keywordAuthor | hearing loss | - |
dc.subject.keywordAuthor | recurrence | - |
dc.subject.keywordAuthor | surgical resection | - |
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