Cholesteatoma extending into the internal auditory meatus

T. Nakagawa, S. Komune, S. Komiyama

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We report our experiences in managing a patient with cholesteatoma complicated by meningitis, labyrinthitis acid facial nerve palsy. The antero-inferior half of the tympanum was aerated but the postero-superior portion of the tympanic membrane was tightly adherent to the promontry mucosa. An attic perforation was present at the back of the malleolar head. High-resolution computed tomography also uncovered a fistula in the lateral semicircular canal. Surgical exploration of the middle ear cavity demonstrated that both the vestibule and cochlea were filled with cholesteatoma, and the cholesteatoma extended into the internal auditory meatus through the lateral semicircular canal fistula. The cholesteatoma was removed by opening the vestibule and cochlea with a preservation of the facial nerve. Post-operatively, an incomplete facial palsy remained, but has improved slowly. There is no sign of recurrence to date after a 3-year period of observation.

Original languageEnglish
Pages (from-to)S15-S17
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume256
Issue numberSUPPL. 1
DOIs
Publication statusPublished - May 10 1999

Fingerprint

Cholesteatoma
Semicircular Canals
Facial Paralysis
Cochlea
Facial Nerve
Middle Ear
Fistula
Labyrinthitis
Tympanic Membrane
Meningitis
Mucous Membrane
Head
Tomography
Observation
Recurrence
Acids

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Cholesteatoma extending into the internal auditory meatus. / Nakagawa, T.; Komune, S.; Komiyama, S.

In: European Archives of Oto-Rhino-Laryngology, Vol. 256, No. SUPPL. 1, 10.05.1999, p. S15-S17.

Research output: Contribution to journalArticle

Nakagawa, T. ; Komune, S. ; Komiyama, S. / Cholesteatoma extending into the internal auditory meatus. In: European Archives of Oto-Rhino-Laryngology. 1999 ; Vol. 256, No. SUPPL. 1. pp. S15-S17.
@article{7b224cbcd8864687a3604019d9dcb6e2,
title = "Cholesteatoma extending into the internal auditory meatus",
abstract = "We report our experiences in managing a patient with cholesteatoma complicated by meningitis, labyrinthitis acid facial nerve palsy. The antero-inferior half of the tympanum was aerated but the postero-superior portion of the tympanic membrane was tightly adherent to the promontry mucosa. An attic perforation was present at the back of the malleolar head. High-resolution computed tomography also uncovered a fistula in the lateral semicircular canal. Surgical exploration of the middle ear cavity demonstrated that both the vestibule and cochlea were filled with cholesteatoma, and the cholesteatoma extended into the internal auditory meatus through the lateral semicircular canal fistula. The cholesteatoma was removed by opening the vestibule and cochlea with a preservation of the facial nerve. Post-operatively, an incomplete facial palsy remained, but has improved slowly. There is no sign of recurrence to date after a 3-year period of observation.",
author = "T. Nakagawa and S. Komune and S. Komiyama",
year = "1999",
month = "5",
day = "10",
doi = "10.1007/PL00014145",
language = "English",
volume = "256",
pages = "S15--S17",
journal = "European Archives of Oto-Rhino-Laryngology",
issn = "0937-4477",
publisher = "Springer Verlag",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Cholesteatoma extending into the internal auditory meatus

AU - Nakagawa, T.

AU - Komune, S.

AU - Komiyama, S.

PY - 1999/5/10

Y1 - 1999/5/10

N2 - We report our experiences in managing a patient with cholesteatoma complicated by meningitis, labyrinthitis acid facial nerve palsy. The antero-inferior half of the tympanum was aerated but the postero-superior portion of the tympanic membrane was tightly adherent to the promontry mucosa. An attic perforation was present at the back of the malleolar head. High-resolution computed tomography also uncovered a fistula in the lateral semicircular canal. Surgical exploration of the middle ear cavity demonstrated that both the vestibule and cochlea were filled with cholesteatoma, and the cholesteatoma extended into the internal auditory meatus through the lateral semicircular canal fistula. The cholesteatoma was removed by opening the vestibule and cochlea with a preservation of the facial nerve. Post-operatively, an incomplete facial palsy remained, but has improved slowly. There is no sign of recurrence to date after a 3-year period of observation.

AB - We report our experiences in managing a patient with cholesteatoma complicated by meningitis, labyrinthitis acid facial nerve palsy. The antero-inferior half of the tympanum was aerated but the postero-superior portion of the tympanic membrane was tightly adherent to the promontry mucosa. An attic perforation was present at the back of the malleolar head. High-resolution computed tomography also uncovered a fistula in the lateral semicircular canal. Surgical exploration of the middle ear cavity demonstrated that both the vestibule and cochlea were filled with cholesteatoma, and the cholesteatoma extended into the internal auditory meatus through the lateral semicircular canal fistula. The cholesteatoma was removed by opening the vestibule and cochlea with a preservation of the facial nerve. Post-operatively, an incomplete facial palsy remained, but has improved slowly. There is no sign of recurrence to date after a 3-year period of observation.

UR - http://www.scopus.com/inward/record.url?scp=0032927922&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032927922&partnerID=8YFLogxK

U2 - 10.1007/PL00014145

DO - 10.1007/PL00014145

M3 - Article

C2 - 10337520

AN - SCOPUS:0032927922

VL - 256

SP - S15-S17

JO - European Archives of Oto-Rhino-Laryngology

JF - European Archives of Oto-Rhino-Laryngology

SN - 0937-4477

IS - SUPPL. 1

ER -