Auditory Vestibular

Labyrinthine fistula (LF) is a pathological condition characterized by an abnormal connection between the inner ear and the middle/mastoid cavity. LF is usually caused by cholesteatoma and can lead to hearing loss, dizziness, and facial palsy.

Surgical management is the preferred treatment option, but there is ongoing debate about the best approach for preserving hearing. Some experts recommend leaving the cholesteatoma matrix on the side of LF to avoid damaging the cochlear function. Others advocate for the complete removal of the cholesteatoma, followed by bone sealing to repair the labyrinth. In cases where the cholesteatoma matrix is removed, the fistula is typically covered without suctioning or drilling the bone labyrinth to minimize the risk of hearing loss.

Author(s) Details:

Annalisa Pace,
Organi di Senso Department, Sapienza University of Rome, Italy.

Giannicola Iannella,
Organi di Senso Department, Sapienza University of Rome, Italy.

Giuseppe Magliulo,
Organi di Senso Department, Sapienza University of Rome, Italy.

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