Opening of the Labyrinth During Chronic Ear Surgery

Palva, Tauno; Kärjä, Juhani; Palva, A.

doi:10.1001/archotol.1971.00770060107014

Cited by 63 publications

(44 citation statements)

References 5 publications

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“…Apparently this was overlooked during the quick steps to cover the bare endolymphatic duct in order to preserve hearing. 4 We Together with our earlier report,2 these new temporal bones demon¬ strate the usefulness of the meatally based postauricular flap for cavity obliteration. The middle ear becomes effectively sealed off from the radical mastoid cavity and the remaining small laminar air cells remain well covered by the thick flap.…”

Section: Commentsupporting

confidence: 75%

Mastoid Obliteration: Histopathological Study of Three Temporal Bones

Palva¹,

Karma²,

Kärjä³

et al. 1975

Archives of Otolaryngology - Head and Neck Surgery

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Section: Commentsupporting

confidence: 75%

Mastoid Obliteration: Histopathological Study of Three Temporal Bones

Palva¹,

Karma²,

Kärjä³

et al. 1975

Archives of Otolaryngology - Head and Neck Surgery

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“…Others [Palva et al, 1971;Abramson et al, 1974;W ayoffttal., 1979] totally disagree with Ritter' s [1970] opinion and recommend that the matrix should be removed over the fistula even though a risk to the inner ear is involved.…”

Section: Discussionmentioning

confidence: 99%

“…There is no agreement as to how the fistula should be [Ritter, 1970;Palva et al, 1971;Sheehy and Crabtree, 1973;Law et al, 1975;Sheehy, 1978;Sheehy and Brackmann, 1979;WayoffeX al., 1979].…”

Section: Historymentioning

confidence: 99%

Management of the Labyrinthine Fistula in Cholesteatoma Surgery

Sanna¹,

Zini²,

Bacciu³

et al. 1984

ORL

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The presence of a labyrinthine fistula has remained one of the major problems in cholesteatoma surgery. Confronted with this problem, the surgeon may ultimately base his choice of procedure on four basic conditions: the size of the fistula, its location in the ear, the condition of the other ear, and the cochlear function. Our attitude has been changing, and currently we prefer to perform a staged closed tympanoplasty. When a closed technique is performed, we either remove the cholesteatoma matrix and then cover the fistula immediately or we leave the matrix in situ and re-explore the mastoid process 5 or 6 months later. The series consists of 88 cases out of a total of 701 patients with cholesteatoma operated on between January 1971 and June 1982. In 20 patients the matrix was left over the fistula at the first stage. The results suggest that a staged operation, i.e. closed tympanoplasty, is to be preferred even in cases with an extensive labyrinthine fistula.

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“…He found perceptive hearing loss in seven of 15 patients when the matrix or granulations had been removed, but in only two of nine when it had been left behind. Palva et al (1971) recommended removal of the matrix. True, hearing was preserved or improved in all 13 patients in whom the matrix was left behind, but a number of them went on having discharge and one later developed purulent labyrinthitis.…”

Section: Discussionmentioning

confidence: 99%

“…Potapov (1959) covered the fistula with oral mucosa or with epithelial membrane from the middle-ear polyp, Preobrazhensky (1965) with vein or homograft dura, Ritter (1970) with gelfoam or fascia. Palva et al (1971) and Gacek (1974) used fascia and simultaneously obliterated the cavity.…”

mentioning

confidence: 99%

Treatment of Labyrinthine Fistulae by a Closed Technique

Tos

1975

ORL

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A fistula on the lateral semicircular canal was found in 14 (4.8 %) ears with cholesteatoma. In 11 patients with preserved inner-ear function the cholesteatoma membrane was removed, the fistula was solidly closed with fascia, bone, and again fascia. The cavity was obliterated, the meatal wall reconstructed, and tympanoplasty performed in the same stage. Ten patients obtained a hearing gain, an average of 16.8 dB, while one developed anacusis. The results show that the cholesteatoma matrix can be removed from most fistulae. In the case of large fistulae, in which the cholesteatoma matrix is adhering to or invading the fistula, there is a great risk of perceptive hearing loss. By closing the fistula with fascia and bone and using a closed technique a lasting hearing gain may be achieved.

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Opening of the Labyrinth During Chronic Ear Surgery

Cited by 63 publications

References 5 publications

Mastoid Obliteration: Histopathological Study of Three Temporal Bones

Mastoid Obliteration: Histopathological Study of Three Temporal Bones

Management of the Labyrinthine Fistula in Cholesteatoma Surgery

Treatment of Labyrinthine Fistulae by a Closed Technique

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