Mohammad Nasir, Z., Md Sarif, M., Mohd Nor, K. (2021). Surgical Management of Labyrinthine Fistula as a Complication of Cholesteatoma. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 22(22), 1-5. doi: 10.21608/ejentas.2021.28975.1203
Zuraini Mohammad Nasir; Muhammad Hariz Md Sarif; Khadijah Mohd Nor. "Surgical Management of Labyrinthine Fistula as a Complication of Cholesteatoma". Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 22, 22, 2021, 1-5. doi: 10.21608/ejentas.2021.28975.1203
Mohammad Nasir, Z., Md Sarif, M., Mohd Nor, K. (2021). 'Surgical Management of Labyrinthine Fistula as a Complication of Cholesteatoma', Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 22(22), pp. 1-5. doi: 10.21608/ejentas.2021.28975.1203
Mohammad Nasir, Z., Md Sarif, M., Mohd Nor, K. Surgical Management of Labyrinthine Fistula as a Complication of Cholesteatoma. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 2021; 22(22): 1-5. doi: 10.21608/ejentas.2021.28975.1203
Surgical Management of Labyrinthine Fistula as a Complication of Cholesteatoma
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.
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