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Hearing preservation despite labyrinthectomy for resection of giant cholesteatoma with middle fossa extension

Published online by Cambridge University Press:  29 June 2007

F. Rapado ,
N. Fergie  and
R. T. Ramsden
F. Rapado*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, UK
N. Fergie
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, UK
R. T. Ramsden
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, UK
*
Address for correspondence: Mr F. Rapado, F.R.C.S., Department of Otolaryngology and Head and Neck Surgery, Royal Preston Hospital, Sharoe Green Lane North, Fulwood, Preston, PR2 9HT. Fax: 01772 710074
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Abstract

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A case is described of an extensive acquired cholesteatoma of the middle ear cleft which had invaded the middle cranial fossa and produced a mass effect on the temporal lobe. It had also extended into the labyrinth without causing elevation in the bone conduction threshold. Furthermore, even after total bony labyrinthectomy, there was very little elevation in these thresholds. The literature relating to hearing preservation after labyrinthectomy is reviewed.

Keywords

Otitis media, suppurativeLabyrinthSurgery, operativeHearing loss, sensorineural
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 5 , May 1998 , pp. 472 - 475
Copyright
Copyright © JLO (1984) Limited 1998

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