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77th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 28.05.2006, Mannheim

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Die Fistel des lateralen Bogenganges als eine Komplikation bei chronischer Otitis media epitympanalis – eine Auswertung aus den Jahren 1999 bis 2005

The Fistula Of The Lateral Labyrinth As A Complication Of A Chronic Otitis Media Epitympanalis – An Evaluation From 1999 To 2005

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  • corresponding author presenting/speaker Angela Färber - Klinik für HNO-Heilkunde, Ameos Klinikum, Halberstadt, Germany
  • Jörg Langer - Klinik für HNO-Heilkunde, Ameos Klinikum, Halberstadt, Germany
  • Klaus Begall - Klinik für HNO-Heilkunde, Ameos Klinikum, Halberstadt, Germany

German Society of Otorhinolaryngology, Head and Neck Surgery. 77th Annual Meeting of the German Society of Otorhinolaryngology, Head and Neck Surgery. Mannheim, 24.-28.05.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06hno043

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hno2006/06hno043.shtml

Published: September 7, 2006

© 2006 Färber et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

There are different complications in case of a chronic otitis media epitympanalis to find dependent on the dimension of this disease. 32 patients with a fistula of the labyrinth were treated by surgical therapy from 1999 to 2005.

Out of 32 patients a fistula of the labyrinth was suspected in 16 patients, 2 patients had a paresis of the N. facialis, 30 patients had ear problems and 15 had ear operations in the past.

Intraoperative were found 23 cases of erosion of the osseous, 5 of the membranous labyrinth. 2 patients had a perilymphatic leak. In 15 cases the N. facialis was uncovered, in 7 cases the dura. We used mostly bone meal or tragus cartilage to cover the leakage. Tragus cartilage was regularly taken for the treatment of membranous fistulas. The patients received perioperative always an antibiotic. In 31 cases the antibiosis was continued. 10 patients got a therapy with prednisolon (Stennert-scheme) and 9 a hemodilutive therapy.

6 patients had postoperative a worse hearing, 1 patient a passing paralysis of the N. facialis. The vertigo symptoms improved in 11 cases.

Conclusion: A chronic otitis media epitympanalis can damage in different ways middle and inner ear structures. Therefore the surgeon has to be prepared for complications especially on dehiscence of the labyrinth or other anatomical structures. The ear operation with closure of the labyrinth fistula, antibiotic prophylaxis and the therapy with prednisolon are the standard therapy.

Outline

References

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Stripf T, Jecker P, Maurer J, Mann WJ. Hörergebnisse nach Verschluss von Labyrinthfisteln bei Patienten mit Cholesteatomen. HNO; VOL: 51 (4); 310-314
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Timm C. Zur Behandlung der chronischen Otitis media mit Labyrinthfistel. Laryngologie, Rhinologie, Otologie; VOL: 31 (10) 481-483
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Brandstetter L. Die Funktion des Ohres nach Radikaloperation wegen Cholesteatomeiterung mit Labyrinthfistel. Laryngologie, Rhinologie, Otologie; VOL: 33 (6) 330-349