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Transcanal Endoscopic Ear Surgery for The Management of Pediatric Perilymphatic Fistula Caused by Trauma

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주제분류이비인후과학

초록

Perilymphatic fistula (PLF) is caused by leakage of perilymph through an abnormal communicationbetween the inner and middle ear. Conservative treatment is considered in the initialstages; however, exploratory tympanotomy is performed if hearing does not improve or if dizzinesspersists. Transcanal endoscopic ear surgery (TEES) is considered an appropriate treatmentoption and is gaining popularity. We report a rare case of traumatic PLF in a 7-year-oldmale patient, in whom pneumolabyrinth without temporal bone fracture was diagnosed andtreated by exploratory tympanotomy using TEES, and review the related research to discussthe usefulness of management using TEES for PLF.

Abstract

Perilymphatic fistula (PLF) is caused by leakage of perilymph through an abnormal communicationbetween the inner and middle ear. Conservative treatment is considered in the initialstages; however, exploratory tympanotomy is performed if hearing does not improve or if dizzinesspersists. Transcanal endoscopic ear surgery (TEES) is considered an appropriate treatmentoption and is gaining popularity. We report a rare case of traumatic PLF in a 7-year-oldmale patient, in whom pneumolabyrinth without temporal bone fracture was diagnosed andtreated by exploratory tympanotomy using TEES, and review the related research to discussthe usefulness of management using TEES for PLF.

참고문헌 (11)

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  2. Sousa Menezes A, "Perilymphatic fistula and pneumolabyrinth without temporal bone fracture : A rare entity", BMJ Case Rep, 12(3), pp.e228457~ (2019)
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  8. Saxby AJ, "Management of traumatic perilymph fistula with endoscopic techniques", ANZ J Surg, 88(1-2), pp.E93~E94 (2018)
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  10. Bogaerts M, "Treatment of traumatic stapediovestibular luxation : Case report with the introduction of a new technique and review of literature", Otol Neurotol, 35(4), pp.582~588 (2014)
  11. Prisman E, "Traumatic perilymphatic fistula with pneumolabyrinth : Diagnosis and management", Laryngoscope, 121(4), pp.856~859 (2011)

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