Matrix removal of labyrinthine fistulae by non-suction technique with intraoperative dexamethasone injection

Jang, Chul Ho; Jo, Si Young; Cho, Yong Beom

doi:10.3109/00016489.2013.782105

Cited by 21 publications

(32 citation statements)

References 18 publications

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“…Group C consisted of the patients from group B who had a fistula in the lateral semicircular canal (LSC) only. This group was established to compare our hearing results with those of Jang et al [ 10 ], who used intravenous corticosteroids intraoperatively. Deaf ears preoperatively (group D) or patients with incomplete hearing tests (group E) were not used for comparison of pre- and postoperative hearing.…”

Section: Methodsmentioning

confidence: 99%

“…Preoperative high-resolution computed tomography (HRCT) scan images with 0.6 mm thickness were obtained routinely for all patients using a Philips Brilliance 64 CT Scanner. A radiologist measured all fistulas in the axial plane using the technique described by Jang et al [ 10 ] and Sone et al [ 12 ] on the outer surface of the defect.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Positive effects on postoperative hearing have been described when intravenous corticosteroids are applied during surgery [ 3 , 10 , 11 ]. Obliteration of the mastoid is thought to reduce postoperative dizziness [ 10 ]. The management of cholesteatoma-induced labyrinthine fistulas consists of the complete removal of the cholesteatoma matrix from the fistula and the prevention of sensorineural hearing loss and dizziness postoperatively due to iatrogenic damage.…”

Section: Introductionmentioning

confidence: 99%

“…The second objective was to evaluate disease control after cholesteatoma surgery when a labyrinthine fistula is present. Jang et al had favourable results in their cohort with the use of perioperative intravenous corticosteroids [ 10 ]. We will compare their results with ours (without the use of corticosteroids) and present an overview of the literature regarding this aspect of labyrinthine management.…”

Section: Introductionmentioning

confidence: 99%

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Management of labyrinthine fistula: hearing preservation versus prevention of residual disease

Geerse

Wolf

Ebbens

et al. 2017

Eur Arch Otorhinolaryngol

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The objective of the study was to evaluate postoperative hearing and disease control after cholesteatoma surgery for labyrinthine fistulas. In a retrospective cohort study, we evaluated a consecutive cohort comprising 44 patients (45 ears) with labyrinthine fistulas associated with chronic otitis media with cholesteatoma who underwent surgery between 2002 and 2015. We looked at patient characteristics, pre- and postoperative bone conduction thresholds (BCT), operative approach and findings, extent of disease and the occurrence of residual disease. All deaf ears (24%) presented preoperatively with a large fistula. Opening the membranous labyrinth resulted in significantly worse postoperative BCT (p = 0.01). Neither the present study nor a literature search revealed a significant positive effect of corticosteroids on postoperative hearing preservation. Large fistulas were correlated with poorer preoperative BCTs, but not with poorer postoperative BCTs. Opening the membranous labyrinth during surgery is correlated with poorer postoperative BCTs and can be seen as a predictive parameter. The use of corticosteroids in the perioperative management of labyrinthine fistula was not found to result in any improvement in postoperative BCTs.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Management of labyrinthine fistula: hearing preservation versus prevention of residual disease

Geerse

Wolf

Ebbens

et al. 2017

Eur Arch Otorhinolaryngol

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Perioperative Use of Systemic Steroids Within Otolaryngology–Head and Neck Surgery: Evidence‐Based Guidance for Clinicians

Ikeda,

Gray,

Lee

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveTo review and synthesize the available evidence for use of perioperative systemic steroids for otolaryngologic surgical procedures.Data SourcesA comprehensive literature review with evidence‐informed recommendations.Review MethodsDatabases were queried for medical subject heading terms and keywords related to perioperative systemic corticosteroids use for comprehensive otolaryngology and subspecialty procedures including otologic, sinonasal, sleep, laryngeal, head and neck, facial plastics, and pediatric surgery. Perioperative period included preoperative (up to 7 days prior to surgery), intraoperative (on the day of surgery), and postoperative (initiated within 24 hours after surgery) timeframes.ConclusionsEvidence from clinical practice guidelines, systematic reviews, and original research studies supports perioperative systemic corticosteroid use for specific otolaryngologic indications. Numerous studies support perioperative steroid use for nausea, vomiting, or edema in tonsillectomy, rhinoplasty, and thyroidectomy, although formal guideline recommendations are limited. Strong evidence supports perioperative steroid use before and after endoscopic sinus surgery for chronic rhinosinusitis with polyposis and fungal sinusitis. Evidence of benefit is sparse or absent on systemic perioperative steroid use for the middle and inner ear, laryngeal, salivary gland surgery, and reconstructive facial plastic surgery.Implications for PracticeAlthough perioperative administration of systemic steroids is routinely performed for many otolaryngologic surgeries, high‐level evidence is limited to specific contexts. Evidence supports the benefit for reducing nausea, vomiting, or edema for several otolaryngologic procedures, as well as for either chronic rhinosinusitis with polyposis or fungal sinusitis. However, these benefits need to be weighed against risks, and further investigations are needed to define the role for perioperative steroids in otolaryngology.

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Advancements and Innovations in Otologic Surgery: Endoscopic and Exoscopic Ear Surgery

Ahmad

Shetty

Alava

2023

Advancements and Innovations in OMFS, ENT, and Facial Plastic Surgery

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Matrix removal of labyrinthine fistulae by non-suction technique with intraoperative dexamethasone injection

Cited by 21 publications

References 18 publications

Management of labyrinthine fistula: hearing preservation versus prevention of residual disease

Management of labyrinthine fistula: hearing preservation versus prevention of residual disease

Perioperative Use of Systemic Steroids Within Otolaryngology–Head and Neck Surgery: Evidence‐Based Guidance for Clinicians

Advancements and Innovations in Otologic Surgery: Endoscopic and Exoscopic Ear Surgery

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