Abstract
Transcanal endoscopic ear surgery (TEES) will become a very useful therapeutic option. A perilymphatic fistula (PLF) is defined as sudden sensorineural hearing loss and/or vertigo caused by leakage of the perilymph through a fistula from the oval window and/or round window. We report a case of PLF after electric acoustic stimulation (EAS), a kind of cochlear implant, successfully treated by TEES. A 38-year-old man presented to our hospital with vertigo and hearing loss (HL). His vertigo was induced by Valsalva maneuvers. Eight months ago, he underwent EAS for his right ear for congenital sensorineural HL. Although he maintained his hearing level after EAS, his pure tone audiogram this time showed deterioration of hearing at low frequencies in his right ear. A diagnosis of right PLF was made. After confirming the non-effectiveness of oral prednisolone treatment, PLF repair surgery to patch the oval and round windows by TEES was performed. His vertigo did not recur after the surgery. To the best of our knowledge, this is the first report of PLF repair surgery by TEES without a microscope. The wide-field view of the middle ear by TEES was useful to prevent electrode damage in a PLF patient with a cochlear implant.
| Original language | English |
|---|---|
| Journal | Auris Nasus Larynx |
| DOIs | |
| Publication status | Accepted/In press - 2017 |
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Keywords
- Cochlear implantation
- Electric acoustic stimulation
- Hearing loss
- Perilymphatic fistula
- Transcanal endoscopic ear surgery
- Vertigo
ASJC Scopus subject areas
- Surgery
- Otorhinolaryngology
Cite this
Transcanal endoscopic ear surgery for perilymphatic fistula after electric acoustic stimulation. / Omichi, Ryotaro; Kariya, Shin; Maeda, Yukihide; Nishizaki, Kazunori.
In: Auris Nasus Larynx, 2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Transcanal endoscopic ear surgery for perilymphatic fistula after electric acoustic stimulation
AU - Omichi, Ryotaro
AU - Kariya, Shin
AU - Maeda, Yukihide
AU - Nishizaki, Kazunori
PY - 2017
Y1 - 2017
N2 - Transcanal endoscopic ear surgery (TEES) will become a very useful therapeutic option. A perilymphatic fistula (PLF) is defined as sudden sensorineural hearing loss and/or vertigo caused by leakage of the perilymph through a fistula from the oval window and/or round window. We report a case of PLF after electric acoustic stimulation (EAS), a kind of cochlear implant, successfully treated by TEES. A 38-year-old man presented to our hospital with vertigo and hearing loss (HL). His vertigo was induced by Valsalva maneuvers. Eight months ago, he underwent EAS for his right ear for congenital sensorineural HL. Although he maintained his hearing level after EAS, his pure tone audiogram this time showed deterioration of hearing at low frequencies in his right ear. A diagnosis of right PLF was made. After confirming the non-effectiveness of oral prednisolone treatment, PLF repair surgery to patch the oval and round windows by TEES was performed. His vertigo did not recur after the surgery. To the best of our knowledge, this is the first report of PLF repair surgery by TEES without a microscope. The wide-field view of the middle ear by TEES was useful to prevent electrode damage in a PLF patient with a cochlear implant.
AB - Transcanal endoscopic ear surgery (TEES) will become a very useful therapeutic option. A perilymphatic fistula (PLF) is defined as sudden sensorineural hearing loss and/or vertigo caused by leakage of the perilymph through a fistula from the oval window and/or round window. We report a case of PLF after electric acoustic stimulation (EAS), a kind of cochlear implant, successfully treated by TEES. A 38-year-old man presented to our hospital with vertigo and hearing loss (HL). His vertigo was induced by Valsalva maneuvers. Eight months ago, he underwent EAS for his right ear for congenital sensorineural HL. Although he maintained his hearing level after EAS, his pure tone audiogram this time showed deterioration of hearing at low frequencies in his right ear. A diagnosis of right PLF was made. After confirming the non-effectiveness of oral prednisolone treatment, PLF repair surgery to patch the oval and round windows by TEES was performed. His vertigo did not recur after the surgery. To the best of our knowledge, this is the first report of PLF repair surgery by TEES without a microscope. The wide-field view of the middle ear by TEES was useful to prevent electrode damage in a PLF patient with a cochlear implant.
KW - Cochlear implantation
KW - Electric acoustic stimulation
KW - Hearing loss
KW - Perilymphatic fistula
KW - Transcanal endoscopic ear surgery
KW - Vertigo
UR - http://www.scopus.com/inward/record.url?scp=85033213505&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85033213505&partnerID=8YFLogxK
U2 - 10.1016/j.anl.2017.10.004
DO - 10.1016/j.anl.2017.10.004
M3 - Article
C2 - 29122427
AN - SCOPUS:85033213505
JO - Auris Nasus Larynx
JF - Auris Nasus Larynx
SN - 0385-8146
ER -